Patient Safety Indicators
Translated Technical Specifications
Patient Safety Indicators – Detailed Definitions
Complications of Anaesthesia (PSI 1)
Death in Low-Mortality DRGs (PSI 2)
Decubitus Ulcer (PSI 3)
Failure to Rescue (PSI 4)
Foreign Body Left During Procedure (PSI 5)
Iatrogentic Pnuemothorax (PSI 6)
Selected Infections Due to Medical Care (PSI 7)
Postoperative Hip Fracture (PSI 8)
Postoperative Haemorrhage or Haematoma (PSI 9)
Postoperative Physiologic or Metabolic Derangement (PSI 10)
Postoperative Respiratory Failure (PSI 11)
Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
Postoperative Sepsis (PSI 13)
Postoperative Wound Dehiscence (PSI 14)
Accidental Puncture or Laceration (PSI 15)
Transfusion Reaction (PSI 16)
Birth Trauma – Injury to Neonate (PSI 17)
Obstetric Trauma – Vaginal Delivery with Instrument (PSI 18)
Obstetric Trauma – Vaginal Delivery without Instrument (PSI 19)
Obstetric Trauma – Caesarean Delivery (PSI 20)
Appendix A: Operating Room Procedure Codes
Appendix C: Trauma Diagnosis Codes
Appendix D: Codes for Immunocompromised States
Appendix E: Cancer Diagnosis Codes
Appendix G: Haemorrhage Diagnosis Codes
Appendix H: Shock Diagnosis Codes
Appendix I: Gastrointestinal (GI) Haemorrhage Diagnosis Codes
Appendix J: Trauma DRGs
Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
Appendix L: Self-Inflicted Injury Diagnosis Codes
Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes
Appendix N: Cardiac Arrhythmia Diagnosis Codes
Appendix O: Sepsis Diagnosis Codes
Appendix P: Infection Diagnosis Codes and DRGs
Appendix Q: Cancer DRGs
Appendix R: Anaesthetic Procedure Codes
Complications of Anaesthesia (PSI 1)
Numerator:
Episodes with an ICD-10-AM diagnosis code for complication of anaesthesia in any secondary diagnosis
field.
ICD-10-AM
T410
T411
T412
T413
T414
X46
Y480
Y481
Y482
Y483
Y484
Y653
5th edition Complication of Anaesthesia diagnosis codes:
Inhaled anaesthetics
Intravenous anaesthetics
Other and unsp general anaesthetics
Local anaesthetics
Anaesthetic unspecified
Acdt poisn orgnc solv halgn hydcarb
Inhaled anaesthetics adv effects Rx use
Parenteral anaesthetics adv eff Rx use
Oth & unsp GA adverse effects Rx use
Local anaesthetics adv effects Rx use
Anaesthetic unsp caus adv eff Rx use
ETT wrongly placed during anaes proc
Denominator:
All surgical episodes, 18 years and older or MDC 14 (Pregnancy, Childbirth, and Puerperium), defined by an
ICD-10-AM procedure code for an operating room procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for complication of anaesthesia in the principal
diagnosis field.
•
Episodes with codes for self-inflicted injury, poisoning due to anaesthetics (X46, T410, T411, T412,
T413) and an ICD-10-AM diagnosis code for active drug dependence or active nondependent abuse
of drugs.
See Appendix L: Self-Inflicted Injury Diagnosis Codes
ICD-10-AM
F110
F111
F112
F113
F114
F115
F116
F117
F118
F119
F120
F121
F122
F123
F124
F125
F126
F127
F128
F129
F130
5th edition Active Drug Dependence and Active Nondependent abuse of Drugs diagnosis codes:
Ment & beh disrd dt opioid use ac intox
Ment & beh disrd dt harmful opioid use
Ment & beh disrd dt opioid use dep syndr
Ment & beh disrd dt opioid use withdr st
Ment & beh disrd dt opd withdr st w del
Ment & beh disrd dt opioids psych disrd
Ment & beh disrd dt opioids amnes syndr
Ment & beh disrd dt opd res late psych
Ment & beh disrd dt opd oth ment & beh
Ment & beh disrd dt opd ? ment beh disrd
Ment & beh disrd dt cannab use ac intox
Ment & beh disrd dt cannab use harmf use
Ment & beh disrd dt cannab use dep syndr
Ment & beh disrd dt cannab use withdr st
Ment beh disrd dt cannab withdr st w del
Ment & beh disrd dt cannab psych disrd
Ment & beh disrd dt cannab amnesic syndr
Ment beh disrd dt cannab res late psych
Ment & beh disrd dt cannab oth ment beh
Ment & beh disrd cannab ? ment beh disrd
Ment & beh disrd dt sed hypn ac intox
F131
F132
F133
F134
F135
F136
F137
F138
F139
F140
F141
F142
F143
F144
F145
F146
F147
F148
F149
F150
F151
F152
F153
F154
F155
F156
F157
F158
F159
F160
F161
F162
F163
F164
F165
F166
F167
F168
F169
F180
F181
F182
F183
F184
F185
F186
F187
F188
F189
F190
F191
F192
F193
F194
F195
F196
F197
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
& beh disrd dt harmf use sed hypn
& beh disrd dt sed hypn dep syndr
& beh disrd dt sed hypn withdr st
beh dis dt sed hypn withdr st w del
& beh disrd dt sed hypn psych dis
& beh disrd dt sed hypn amnes syndr
& beh disrd sed hypn res late psych
& beh disrd sed hypn oth ment beh
beh disrd sed hypn ? ment beh disrd
& beh disrd dt use cocaine ac intox
& beh disrd dt harmful use cocaine
& beh disrd dt cocaine dep syndr
& beh disrd dt cocaine withdr st
& beh disrd cocaine withdr st w del
& beh disrd dt cocaine psych disrd
& beh disrd dt cocaine amnes syndr
beh disrd dt cocaine res late psych
& beh disrd cocaine oth ment & beh
beh disrd cocaine ? ment beh disrd
& beh disrd dt stimulants ac intox
& beh disrd dt harmf use stimulants
& beh disrd dt stimulants dep syndr
& beh disrd dt stimulants withdr st
beh disrd dt stimt withdr st w del
& beh disrd dt stimt psych disrd
& beh disrd dt stimt amnesic syndr
& beh disrd dt stimt res late psych
& beh disrd dt stimt oth ment & beh
beh disrd dt stimt ? ment beh disrd
& beh disrd dt hallucin ac intox
& beh disrd dt harmf use hallucin
& beh disrd dt hallucin dep syndr
& beh disrd dt hallucin withdr st
beh disrd hallucin withdr st w del
& beh disrd dt hallucin psych dis
& beh disrd dt hallucin amnes syndr
& beh disrd hallucin res late psych
& beh disrd hallucin oth ment beh
beh disrd hallucin ? ment beh disrd
& beh disrd dt vol solv ac intox
& beh disrd dt harmf use vol solv
& beh disrd dt vol solv dep syndr
& beh disrd dt vol solv withdr st
beh disrd vol solv withdr st w del
& beh disrd vol solv psych disrd
& beh disrd vol solv amnes syndr
& beh disrd vol solv res late psych
beh disrd vol solv oth ment beh
beh disrd vol solv ? ment beh disrd
& beh disrd mult dr psyact ac intox
& beh dis harmf use mult dr psyact
& beh dis mult dr psyact dep syndr
& beh dis mult dr psyact withdr st
beh disrd mult dr psyact withdr del
& beh dis mult dr psyact psych dis
beh dis mult dr psyact amnes syndr
& beh dis mult dr psyact res & late
F198
F199
F550
F551
F552
F553
F554
F555
F556
F558
F559
Ment beh mult dr psyact oth ment beh
Ment beh disrd mult dr psyact ? ment beh
Antidepressants
Laxatives
Analgesics
Antacids
Vitamins
Steroids or hormones
Specific herbal or folk remedies
Other subs do not produce dependence
Unsp harmful use non-dependence sub
Death in Low-Mortality DRGs (PSI 2)
Numerator:
Episodes with a separation type of “death”.
Denominator:
Episodes, 18 years and older, in low-mortality DRGs, defined as DRGs with a total mortality rate less than
0.5% over the previous 3 years or less than 0.5% in any of the previous 3 years.
AR-DRG version 5.1 Low-mortality DRGs:
A08B
Autologous Bone Marrow Transplant W/O Catastrophic CC
A09B
Renal Transplant W/O Pancreas Transplant W/O Catastrophic CC
B01Z
Ventricular Shunt Revision
B03B
Spinal Procedures W/O Catastrophic or Severe CC
B04B
Extracranial Vascular Procedures W/O Catastrophic or Severe CC
B05Z
Carpal Tunnel Release
B06B
Procs for Cerebral Palsy, Muscular Dystrophy, Neuropathy W/O Cat or Sev CC
B07B
Peripheral and Cranial Nerve & Other Nervous System Procedures W/O CC
B40Z
Plasmapheresis W Neurological Disease
B41Z
Telemetric EEG Monitoring
B61B
Spinal Cord Conditions W or W/O OR Procedures W/O Catastrophic or Severe CC
B62Z
Admit for Apheresis
B65Z
Cerebral Palsy
B68B
Multiple Sclerosis and Cerebellar Ataxia W/O CC
B69B
TIA and Precerebral Occlusion W/O Catastrophic or Severe CC
B71B
Cranial and Peripheral Nerve Disorders W/O CC
B73Z
Viral Meningitis
B75Z
Febrile Convulsions
B76B
Seizure W/O Catastrophic or Severe CC
B77Z
Headache
B80Z
Other Head Injury
B81B
Other Disorders of the Nervous System W/O Catastrophic or Severe CC
C01Z
Procedures for Penetrating Eye Injury
C02Z
Enucleations and Orbital Procedures
C03Z
Retinal Procedures
C04Z
Major Corneal, Scleral and Conjunctival Procedures
C05Z
Dacryocystorhinostomy
C10Z
Strabismus Procedures
C11Z
Eyelid Procedures
C12Z
Other Corneal, Scleral and Conjunctival Procedures
C13Z
Lacrimal Procedures
C14Z
Other Eye Procedures
C15A
Glaucoma and Complex Cataract Procedures
C15B
Glaucoma and Complex Cataract Procedures, Sameday
C16A
Lens Procedures
C16B
Lens Procedures, Sameday
C60B
Acute and Major Eye Infections Age <55 W/O Catastrophic or Severe CC
C61Z
Neurological and Vascular Disorders of the Eye
C62Z
Hyphema and Medically Managed Trauma to the Eye
C63B
Other Disorders of the Eye W/O CC
D01Z
Cochlear Implant
D02B
Head and Neck Procedures W Malignancy or Moderate CC
D02C
Head and Neck Procedures W/O Malignancy W/O CC
D03Z
Surgical Repair for Cleft Lip or Palate Diagnosis
D04A
Maxillo Surgery W CC
D04B
Maxillo Surgery W/O CC
D05Z
Parotid Gland Procedures
D06Z
D09Z
D10Z
D11Z
D12Z
D13Z
D14Z
D40Z
D61Z
D62Z
D63A
D63B
D64Z
D65Z
D66B
D67A
D67B
E02C
E60B
E63Z
E66B
E66C
E67B
E69B
E69C
E70A
E70B
E72Z
E75C
F01A
F01B
F04B
F05B
F06B
F07B
F12Z
F14B
F14C
F15Z
F16Z
F17Z
F19Z
F20Z
F41B
F42A
F42B
F60A
F60B
F63B
F66B
F67A
F67B
F68Z
F69B
F71B
F72B
F73B
Sinus, Mastoid and Complex Middle Ear Procedures
Miscellaneous Ear, Nose, Mouth & Throat Procedures
Nasal Procedures
Tonsillectomy and/or Adenoidectomy
Other Ear, Nose, Mouth & Throat Procedures
Myringotomy W Tube Insertion
Mouth and Salivary Gland Procedures
Dental Extractions and Restorations
Dysequilibrium
Epistaxis
Otitis Media and URI W CC
Otitis Media and URI W/O CC
Laryngotracheitis and Epiglottitis
Nasal Trauma and Deformity
Other Ear, Nose, Mouth and Throat Diagnoses W/O CC
Oral and Dental Disorders Except Extractions and Restorations
Oral and Dental Disorders Except Extractions and Restorations, Sameday
Other Respiratory System OR Procedures W/O Catastrophic or Severe CC
Cystic Fibrosis W/O Catastrophic or Severe CC
Sleep Apnoea
Major Chest Trauma Age >69 or W CC
Major Chest Trauma Age <70 W/O CC
Respiratory Signs and Symptoms W/O Catastrophic or Severe CC
Bronchitis and Asthma Age >49 or W CC
Bronchitis and Asthma Age <50 W/O CC
Whooping Cough and Acute Bronchiolitis W CC
Whooping Cough and Acute Bronchiolitis W/O CC
Respiratory Problems Arising from Neonatal Period
Other Respiratory System Diagnosis Age <65 W/O CC
Implantation or Replacement of AICD, Total System W Cat or Sev CC
Implantation or Replacement of AICD, Total System W/O Cat or Sev CC
Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W/O Cat CC
Coronary Bypass W Invasive Cardiac Inves W/O Catastrophic CC
Coronary Bypass W/O Invasive Cardiac Inves W/O Catastrophic or Severe CC
Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Catastrophic CC
Cardiac Pacemaker Implantation
Vascular Procs Except Major Reconstruction W/O CPB Pump W Sev CC
Vascular Procs Except Major Reconstruction W/O CPB Pump W/O Cat or Sev CC
Percutaneous Coronary Intervention W/O AMI W Stent Implantation
Percutaneous Coronary Intervention W/O AMI W/O Stent Implantation
Cardiac Pacemaker Replacement
Other Trans-Vascular Percutaneous Cardiac Intervention
Vein Ligation and Stripping
Circulatory Disorders W AMI W Invasive Cardiac Inves Proc W/O Cat or Sev CC
Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W Complex DX/Pr
Circulatory Disorders W/O AMI W Invasive Cardiac Inves Proc W/O Complex DX/Pr
Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W Cat or Sev CC
Circulatory Disorders W AMI W/O Invasive Cardiac Inves Proc W/O Cat or Sev CC
Venous Thrombosis W/O Catastrophic or Severe CC
Coronary Atherosclerosis W/O CC
Hypertension W CC
Hypertension W/O CC
Congenital Heart Disease
Valvular Disorders W/O Catastrophic or Severe CC
Non-Major Arrhythmia and Conduction Disorders W/O Catastrophic or Severe CC
Unstable Angina W/O Catastrophic or Severe CC
Syncope and Collapse W/O Catastrophic or Severe CC
F74Z
G01B
G02B
G03C
G04B
G04C
G05B
G06Z
G07A
G07B
G08A
G08B
G09Z
G10Z
G11B
G12B
G42B
G43Z
G44B
G44C
G45B
G46B
G46C
G61B
G63Z
G64Z
G65B
G66B
G67B
G68A
G68B
G69Z
G70B
H01B
H02B
H02C
H05B
H07B
H08A
H08B
H41B
H42B
H42C
H62B
H64B
I01Z
I02B
I03C
I04Z
I05Z
I06Z
I08B
I09B
I10B
I11Z
I12B
I12C
Chest Pain
Rectal Resection W/O Catastrophic CC
Major Small and Large Bowel Procedures W/O Catastrophic CC
Stomach, Oesophageal and Duodenal Procedures W/O Malignancy W/O Cat or Sev CC
Peritoneal Adhesiolysis Age >49 or W CC
Peritoneal Adhesiolysis Age <50 W/O CC
Minor Small and Large Bowel Procedures W/O CC
Pyloromyotomy Procedure
Appendicectomy W Catastrophic or Severe CC
Appendicectomy W/O Catastrophic or Severe CC
Abdominal and Other Hernia Procedures Age >59 or W (Cat or Sev CC)
Abdominal and Other Hernia Procedures Age 1 to 59 W/O Cat or Sev CC
Inguinal and Femoral Hernia Procedures Age>0
Hernia Procedures Age<1
Anal and Stomal Procedures W/O Catastrophic or Severe CC
Other Digestive System OR Procedures W/O Catastrophic or Severe CC
Other Gastroscopy for Major Digestive Disease, Sameday
Complex Colonoscopy
Other Colonoscopy W/O Catastrophic or Severe CC
Other Colonoscopy, Sameday
Other Gastroscopy for Non-Major Digestive Disease, Sameday
Complex Gastroscopy W/O Catastrophic or Severe CC
Complex Gastroscopy, Sameday
GI Haemorrhage Age <65 W/O Catastrophic or Severe CC
Uncomplicated Peptic Ulcer
Inflammatory Bowel Disease
GI Obstruction W/O CC
Abdominal Pain or Mesenteric Adenitis W/O CC
Oesophagitis, Gastroent & Misc Digestive Systm Disorders Age >9 W/O Cat/Sev CC
Gastroenteritis Age <10 W CC
Gastroenteritis Age <10 W/O CC
Oesophagitis and Misc Digestive System Disorders Age<10
Other Digestive System Diagnoses W/O CC
Pancreas, Liver and Shunt Procedures W/O Catastrophic CC
Major Biliary Tract Procedures W/O Malignancy W (Severe or Moderate CC)
Major Biliary Tract Procedures W/O Malignancy W/O CC
Hepatobiliary Diagnostic Procedures W/O Catastrophic or Severe CC
Open Cholecystectomy W/O Closed CDE W/O Catastrophic CC
Laparoscopic Cholecystectomy W Closed CDE Or W (Cat or Sev CC)
Laparoscopic Cholecystectomy W/O Closed CDE W/O Cat or Sev CC
ERCP Complex Therapeutic Procedure W/O Catastrophic or Severe CC
ERCP Other Therapeutic Procedure W Moderate CC
ERCP Other Therapeutic Procedure W/O CC
Disorders of Pancreas Except for Malignancy W/O Catastrophic or Severe CC
Disorders of the Biliary Tract W/O CC
Bilateral or Multiple Major Joint Procedures of Lower Extremity
Skin Graft W/O Catastrophic or Severe CC, Excluding Hand
Hip Replacement W/O Catastrophic or Severe CC
Knee Replacement and Reattachment
Other Major Joint Replacement and Limb Reattachment Procedures
Spinal Fusion W Deformity
Other Hip and Femur Procedures W/O Catastrophic or Severe CC
Spinal Fusion W/O Catastrophic or Severe CC
Other Back and Neck Procedures W/O Catastrophic or Severe CC
Limb Lengthening Procedures
Infect/Inflam of Bone & Joint W Misc Musc Sys & Conn Tiss Procs W Sev CC
Infect/Inflam Bone & Joint W Misc Musc Sys & Conn Tiss Proc W/O Cat or Sev CC
I13B
I13C
I14Z
I15Z
I16Z
I17Z
I18Z
I19Z
I20Z
I21Z
I23Z
I24Z
I27B
I28B
I29Z
I30Z
I63Z
I64B
I66B
I67B
I68B
I68C
I69B
I69C
I70Z
I71B
I71C
I72B
I73B
I73C
I74B
I74C
I75B
I75C
I76B
I76C
I77B
J01Z
J06A
J06B
J07A
J07B
J08B
J09Z
J10Z
J11Z
J12B
J12C
J13B
J14Z
J60B
J63Z
J64B
J65B
J67B
J68B
K02Z
Humerus, Tibia, Fibula and Ankle Procedures Age >59 W/O Cat or Sev CC
Humerus, Tibia, Fibula and Ankle Procedures Age <60 W/O Cat or Sev CC
Stump Revision
Cranio-Facial Surgery
Other Shoulder Procedures
Maxillo-Facial Surgery
Other Knee Procedures
Other Elbow or Forearm Procedures
Other Foot Procedures
Local Excision & Removal of Internal Fixation Devices of Hip and Femur
Local Excision & Removal of Internal Fixation Device Excl Hip and Femur
Arthroscopy
Soft Tissue Procedures W/O Catastrophic or Severe CC
Other Connective Tissue Procedures W/O CC
Knee Reconstruction or Revision
Hand Procedures
Sprains, Strains and Dislocations of Hip, Pelvis and Thigh
Osteomyelitis W/O CC
Inflammatory Musculoskeletal Disorders W/O Cat or Sev CC
Septic Arthritis W/O Catastrophic or Severe CC
Non-surgical Spinal Disorders W/O CC
Non-surgical Spinal Disorders, Sameday
Bone Diseases & Spec Arthropathies Age >74 or W (Catastrophic or Severe CC)
Bone Diseases & Spec Arthropathies Age <75 W/O Catastrophic or Severe CC
Non-specific Arthropathies
Other Musculotendinous Disorders Age >69 or W CC
Other Musculotendinous Disorders Age <70 W/O CC
Specific Musculotendinous Disorders Age <80 W/O Cat or Sev CC
Aftercare of Musculoskeletal Implants/Prostheses Age >59 or W (Cat or Sev CC)
Aftercare of Musculoskeletal Implants/Prostheses Age <60 W/O Cat or Sev CC
Injury to Forearm, Wrist, Hand or Foot Age >74 or W CC
Injury to Forearm, Wrist, Hand or Foot Age <75 W/O CC
Injury to Shoulder, Arm, Elbow, Knee, Leg or Ankle Age >64 or W CC
Injury to Shoulder, Arm, Elbow, Knee, Leg or Ankle Age <65 W/O CC
Other Musculoskeletal Disorders Age >69 or W CC
Other Musculoskeletal Disorders Age <70 W/O CC
Fractures of Pelvis W/O Catastrophic or Severe CC
Microvascular Tissue Transfer for Skin, Subcutaneous Tissue & Breast Disorder
Major Procedures for Malignant Breast Conditions
Major Procedures for Non-Malignant Breast Conditions
Minor Procedures for Malignant Breast Conditions
Minor Procedures for Non-Malignant Breast Conditions
Other Skin Graft and/or Debridement Procedures W/O Catastrophic or Severe CC
Perianal and Pilonidal Procedures
Skin, Subcutaneous Tissue and Breast Plastic OR Procedures
Other Skin, Subcutaneous Tissue and Breast Procedures
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W Skin Graft/Flap Repair
Lower Limb Procs W Ulcer/Cellulitis W/O Cat CC W/O Skin Graft/Flap Repair
Lower Limb Procs W/O Ulcer/Cellulitis W/O (Skin Graft and (Cat or Sev CC))
Major Breast Reconstructions
Skin Ulcers, Sameday
Non-Malignant Breast Disorders
Cellulitis (Age >59 W/O Catastrophic or Severe CC) or Age <60
Trauma to the Skin, Subcutaneous Tissue and Breast Age <70
Minor Skin Disorders, Sameday
Major Skin Disorders, Sameday
Pituitary Procedures
K03Z
K04Z
K05Z
K06Z
K07Z
K08Z
K40Z
K60B
K62C
K63Z
K64B
L02B
L03B
L04B
L04C
L05B
L06B
L07B
L08A
L08B
L09C
L40Z
L41Z
L42Z
L61Z
L63C
L64Z
L65B
L66Z
L67C
M01Z
M02B
M03A
M03B
M04A
M04B
M05Z
M06A
M06B
M40Z
M61B
M62A
M62B
M63Z
M64Z
N01Z
N02B
N03A
N03B
N04Z
N05A
N05B
N06Z
N07Z
N08Z
N09Z
N10Z
Adrenal Procedures
Major Procedures for Obesity
Parathyroid Procedures
Thyroid Procedures
Obesity Procedures
Thyroglossal Procedures
Endoscopic or Investigative Procedure for Metabolic Disorders W/O CC
Diabetes W/O Catastrophic or Severe CC
Miscellaneous Metabolic Disorders Age <75 W/O Catastrophic or Severe CC
Inborn Errors of Metabolism
Endocrine Disorders W/O Catastrophic or Severe CC
Operative Insertion of Peritoneal Catheter for Dialysis W/O Cat or Sev CC
Kidney, Ureter and Major Bladder Procedures for Neoplasm W/O Cat or Sev CC
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W Sev or Mod CC
Kidney, Ureter and Major Bladder Procedures for Non-Neoplasm W/O CC
Transurethral Prostatectomy W/O Catastrophic or Severe CC
Minor Bladder Procedures W/O Catastrophic or Severe CC
Transurethral Procedures Except Prostatectomy W/O Catastrophic or Severe CC
Urethral Procedures W CC
Urethral Procedures W/O CC
Other Procedures for Kidney and Urinary Tract Disorders W/O Cat or Sev CC
Ureteroscopy
Cystourethroscopy, Sameday
ESW Lithotripsy for Urinary Stones
Admit for Renal Dialysis
Kidney and Urinary Tract Infections Age <70 W/O Catastrophic or Severe CC
Urinary Stones and Obstruction
Kidney and Urinary Tract Signs and Symptoms W/O Catastrophic or Severe CC
Urethral Stricture
Other Kidney and Urinary Tract Diagnoses W/O Catastrophic or Severe CC
Major Male Pelvic Procedures
Transurethral Prostatectomy W/O Catastrophic or Severe CC
Penis Procedures W CC
Penis Procedures W/O CC
Testes Procedures W CC
Testes Procedures W/O CC
Circumcision
Other Male Reproductive System OR Procedures for Malignancy
Other Male Reproductive System OR Procedures Except for Malignancy
Cystourethroscopy W/O CC
Benign Prostatic Hypertrophy W/O Catastrophic or Severe CC
Inflammation of the Male Reproductive System W CC
Inflammation of the Male Reproductive System W/O CC
Sterilisation, Male
Other Male Reproductive System Diagnoses
Pelvic Evisceration and Radical Vulvectomy
Uterine, Adnexa Procedure for Ovarian or Adnexal Malignancy W/O CC
Uterine, Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W CC
Uterine, Adnexa Procedure for Non-Ovarian or Adnexal Malignancy W/O CC
Hysterectomy for Non-Malignancy
Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W Cat or Sev CC
Oophorectomies & Complex Fallopian Tube Procs for Non-Malig W/O Cat or Sev CC
Female Reproductive System Reconstructive Procedures
Other Uterine & Adnexa Procedures for Non-Malignancy
Endoscopic and Laparoscopic Procedures for Female Reproductive System
Conisation, Vagina, Cervix and Vulva Procedures
Diagnostic Curettage or Diagnostic Hysteroscopy
N11B
N61Z
N62A
N62B
O01A
O01B
O01C
O02A
O02B
O03Z
O04Z
O05Z
O60A
O60B
O60C
O61Z
O63Z
O64A
O64B
O66A
O66B
P63Z
P64Z
P65A
P65B
P65C
P65D
P66A
P66B
P66C
P66D
P67B
P67C
P67D
Q02B
Q60B
Q60C
Q61C
R01B
R02B
R03B
R04B
R61C
R63Z
R64Z
S60Z
T01B
T01C
T61B
T62B
T63A
T63B
T64B
U40Z
U60Z
U61A
U61B
Other Female Reproductive System OR Procs Age <65 W/O Malignancy W/O CC
Infections, Female Reproductive System
Menstrual and Other Female Reproductive System Disorders W CC
Menstrual and Other Female Reproductive System Disorders W/O CC
Caesarean Delivery W Catastrophic CC
Caesarean Delivery W Severe CC
Caesarean Delivery W/O Catastrophic or Severe CC
Vaginal Delivery W OR Procedure W Catastrophic or Severe CC
Vaginal Delivery W OR Procedure W/O Catastrophic or Severe CC
Ectopic Pregnancy
Postpartum and Post Abortion W OR Procedure
Abortion W OR Procedure
Vaginal Delivery W Catastrophic or Severe CC
Vaginal Delivery W/O Catastrophic or Severe CC
Vaginal Delivery Single Uncomplicated W/O Other Condition
Postpartum and Post Abortion W/O OR Procedure
Abortion W/O OR Procedure
False Labour Before 37 Weeks or W Catastrophic CC
False Labour After 37 Weeks W/O Catastrophic CC
Antenatal & Other Obstetric Admission
Antenatal & Other Obstetric Admission, Sameday
Neonate, AdmWt 1000-1249 g W/O Significant OR Procedure
Neonate, AdmWt 1250-1499 g W/O Significant OR Procedure
Neonate, AdmWt 1500-1999 g W/O Significant OR Proc W Multi Major Problems
Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W Major Problem
Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W Other Problem
Neonate, AdmWt 1500-1999 g W/O Significant OR Procedure W/O Problem
Neonate, AdmWt 2000-2499 g W/O Significant OR Proc W Multi Major Problems
Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W Major Problem
Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W Other Problem
Neonate, AdmWt 2000-2499 g W/O Significant OR Procedure W/O Problem
Neonate, AdmWt > 2499 g W/O Significant OR Procedure W Major Problem
Neonate, AdmWt > 2499 g W/O Significant OR Procedure W Other Problem
Neonate, AdmWt > 2499 g W/O Significant OR Procedure W/O Problem
Other OR Procedure of Blood & Blood Forming Organs W/O Cat or Sev CC
Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W Malignancy
Reticuloendothelial and Immunity Disorders W/O Cat or Sev CC W/O Malignancy
Red Blood Cell Disorders W/O Catastrophic or Severe CC
Lymphoma and Leukaemia W Major OR Procedures W/O Catastrophic or Severe CC
Other Neoplastic Disorders W Major OR Procedures W/O Cat or Sev CC
Lymphoma and Leukaemia W Other OR Procedures W/O Catastrophic or Severe CC
Other Neoplastic Disorders W Other OR Procedures W/O Cat or Sev CC
Lymphoma and Non-Acute Leukaemia, Sameday
Chemotherapy
Radiotherapy
HIV, Sameday
OR Procedures for Infectious and Parasitic Diseases W Severe or Moderate CC
OR Procedures for Infectious and Parasitic Diseases W/O CC
Postoperative & Post-traumatic Infections Age <55 W/O Cat or Sev CC
Fever of Unknown Origin W/O CC
Viral Illness Age >59 or W CC
Viral Illness Age <60 W/O CC
Other Infectious and Parasitic Diseases W/O Catastrophic or Severe CC
Mental Health Treatment, Sameday, W ECT
Mental Health Treatment, Sameday, W/O ECT
Schizophrenia Disorders W Mental Health Legal Status
Schizophrenia Disorders W/O Mental Health Legal Status
U62A
U62B
U63A
U63B
U64Z
U65Z
U66Z
U67Z
U68Z
V60A
V60B
V61Z
V62A
V62B
V63A
V63B
V64Z
W03Z
W04Z
X02Z
X04B
X05Z
X06B
X07B
X60B
X60C
X61Z
X62B
X63B
Y02B
Y03Z
Y60Z
Y62B
Z01A
Z01B
Z40Z
Z60B
Z60C
Z62Z
Z63B
Z64B
Z65Z
Paranoia & Acute Psych Disorder W Cat/Sev CC or W Mental Health Legal Status
Paranoia & Acute Psych Disorder W/O Cat/Sev CC W/O Mental Health Legal Status
Major Affective Disorders Age >69 or W (Catastrophic or Severe CC)
Major Affective Disorders Age <70 W/O Catastrophic or Severe CC
Other Affective and Somatoform Disorders
Anxiety Disorders
Eating and Obsessive-Compulsive Disorders
Personality Disorders and Acute Reactions
Childhood Mental Disorders
Alcohol Intoxication and Withdrawal W CC
Alcohol Intoxication and Withdrawal W/O CC
Drug Intoxication and Withdrawal
Alcohol Use Disorder and Dependence
Alcohol Use Disorder and Dependence, Sameday
Opioid Use Disorder and Dependence
Opioid Use Disorder and Dependence, Left Against Medical Advice
Other Drug Use Disorder and Dependence
Abdominal Procedures for Multiple Significant Trauma
Other OR Procedures for Multiple Significant Trauma
Microvascular Tissue Transfer or Skin Grafts for Injuries to Hand
Other Procedures for Injuries to Lower Limb Age <60 W/O CC
Other Procedures for Injuries to Hand
Other Procedures for Other Injuries W/O Catastrophic or Severe CC
Skin Graft for Injuries Ex Hand W/O Microvascular Tiss Tfr W/O Cat or Sev CC
Injuries Age >64 W/O CC
Injuries Age <65
Allergic Reactions
Poisoning/Toxic Effects of Drugs & Other Substances Age <60 W/O CC
Sequelae of Treatment W/O Catastrophic or Severe CC
Other Burns W Skin Graft Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
Other OR Procedures for Other Burns
Burns, Transferred to Another Acute Care Facility < 5 Days
Other Burns Age <65 W/O (Cat or Sev CC) W/O Complicating Proc
OR Procedures W Diagnoses of Other Contacts W Health Services W Cat/Sev CC
OR Procedures W Diagnoses Other Contacts W Health Services W/O Cat/Sev CC
Follow Up W Endoscopy
Rehabilitation W/O Catastrophic or Severe CC
Rehabilitation, Sameday
Follow Up W/O Endoscopy
Other Aftercare W/O Catastrophic or Severe CC
Other Factors Influencing Health Status, Sameday
Multiple, Other and Unspecified Congenital Anomalies
Exclude:
•
Episodes with any code for trauma, immunocompromised state or cancer.
See Appendix C: Trauma Diagnosis Codes
See Appendix D: Codes for Immunocompromised State
See Appendix E: Cancer Diagnosis Codes
Decubitus Ulcer (PSI 3)
Numerator:
Episodes with an ICD-10-AM diagnosis code for decubitus ulcer in any secondary diagnosis field.
ICD-10-AM
L890
L891
L892
L893
L899
5th edition
Decubitus
Decubitus
Decubitus
Decubitus
Decubitus
Decubitus Ulcer diagnosis codes:
[pressure] ulcer, stage I
[pressure] ulcer, stage II
[pressure] ulcer, stage III
[pressure] ulcer, stage IV
[pressure] ulcer, unspecified
Denominator:
All episodes, 18 years and older.
Exclude:
•
Episodes with a length of stay less than 5 days.
•
Episodes with an ICD-10-AM diagnosis code for decubitus ulcer in the principal diagnosis field.
•
MDC 9 (Skin, Subcutaneous Tissue, and Breast).
•
MDC 14 (Pregnancy, Childbirth, and Puerperium).
•
Episodes with an ICD-10-AM diagnosis code of hemiplegia, paraplegia, or quadriplegia.
•
Episodes with an ICD-10-AM diagnosis code of spina bifida or anoxic brain damage.
•
Episodes admitted from a long-term care facility.
•
Transferred from an acute care facility.
ICD-10-AM 5th edition Hemiplegia, Paraplegia, Quadriplegia, Spina Bifida and Anoxic Brain Damage
diagnosis codes:
G041
Tropical spastic paraplegia
G8000
Spastic cerebral palsy, unspecified
G8001
Spastic diplegic cerebral palsy
G8002
Spastic hemiplegic cerebral palsy
G8003
Spastic quadriplegic cerebral palsy
G8009
Other spastic cerebral palsy
G803
Dyskinetic cerebral palsy
G804
Ataxic cerebral palsy
G808
Other cerebral palsy
G809
Cerebral palsy, unspecified
G810
Flaccid hemiplegia
G811
Spastic hemiplegia
G819
Hemiplegia unspecified
G8200
Flaccid paraplegia unspecified
G8201
Flaccid paraplegia, unspecified, acute
G8202
Flaccid paraplegia, unspecified, chronic
G8203
Flaccid paraplegia, complete, acute
G8204
Flaccid paraplegia, complete, chronic
G8205
Flaccid paraplegia, incomplete, acute
G8206
Flaccid paraplegia, incomplete, chronic
G8210
Spastic paraplegia unspecified
G8211
Spastic paraplegia, unspecified, acute
G8212
Spastic paraplegia, unspecified chronic
G8213
Spastic paraplegia, complete, acute
G8214
Spastic paraplegia, complete, chronic
G8215
Spastic paraplegia, incomplete, acute
G8216
Spastic paraplegia, incomplete, chronic
G8220
Paraplegia, unspecified, unspecified
G8221
Paraplegia, unspecified, acute
G8222
Paraplegia, unspecified, chronic
G8223
Paraplegia, unspecified, complete, acute
G8224
G8225
G8226
G8230
G8231
G8232
G8233
G8234
G8235
G8236
G8240
G8241
G8242
G8243
G8244
G8245
G8246
G8250
G8251
G8252
G8253
G8254
G8255
G8256
G830
G831
G832
G833
G834
G838
G839
G931
I690
I691
I692
I693
I694
I698
P210
Q0500
Q0501
Q0502
Q0510
Q0511
Q0512
Q0520
Q0521
Q0522
Q0530
Q0531
Q0532
Q0540
Q0541
Q0542
Q0550
Q0551
Q0552
Paraplegia, unsp, complete, chronic
Paraplegia, unsp, incomplete, acute
Paraplegia, unsp, incomplete, chronic
Flaccid tetraplegia unspecified
Flaccid tetraplegia, unspecified, acute
Flaccid tetraplegia, unsp, chronic
Flaccid tetraplegia, complete, acute
Flaccid tetraplegia, complete, chronic
Flaccid tetraplegia, incomplete, acute
Flaccid tetraplegia, incomplete, chronic
Spastic tetraplegia unspecified
Spastic tetraplegia, unspecified, acute
Spastic tetraplegia, unsp, chronic
Spastic tetraplegia, complete, acute
Spastic tetraplegia, complete, chronic
Spastic tetraplegia, incomplete, acute
Spastic tetraplegia, incomplete, chronic
Tetraplegia, unspecified, unspecified
Tetraplegia, unspecified, acute
Tetraplegia, unspecified, chronic
Tetraplegia, unsp, complete, acute
Tetraplegia, unsp, complete, chronic
Tetraplegia, unsp, incomplete, acute
Tetraplegia, unsp, incomplete, chronic
Diplegia of upper limbs
Monoplegia of lower limb
Monoplegia of upper limb
Monoplegia unspecified
Cauda equina syndrome
Other specified paralytic syndromes
Paralytic syndrome unspecified
Anoxic brain damage NEC
Sequelae of subarachnoid haemorrhage
Sequelae of intracerebral haemorrhage
Sequelae oth nontraumatic intrcran haem
Sequelae of cerebral infarction
Sequelae of stroke not haem or infrct
Seq oth / unsp cerebrovascular dis
Severe birth asphyxia
Cerv spina bifida w hydrocephalus unsp
Cerv spina bifida w hydrocephalus open
Cerv spina bifida w hydrocephalus closed
Thor spina bifida w hydrocephalus unsp
Thor spina bifida w hydrocephalus open
Thor spina bifida w hydrocephalus closed
Lmbr spina bifida w hydrocephalus unsp
Lmbr spina bifida w hydrocephalus open
Lmbr spina bifida w hydrocephalus closed
Sacr spina bifida w hydrocephalus unsp
Sacr spina bifida w hydrocephalus open
Sacr spina bifida w hydrocephalus closed
Unsp spina bifida w hydrocephalus unsp
Unsp spina bifida w hydrocephalus open
Unsp spina bifida w hydrocephalus closed
Cerv spina bifida wo hydrocephalus unsp
Cerv spina bifida wo hydrocephalus open
Cerv spina bifida wo hydrocephalus clsd
Q0560
Q0561
Q0562
Q0570
Q0571
Q0572
Q0580
Q0581
Q0582
Q0590
Q0591
Q0592
Q070
Thor spina bifida wo hydrocephalus unsp
Thor spina bifida wo hydrocephalus open
Thor spina bifida wo hydrocephalus clsd
Lmbr spina bifida wo hydrocephalus unsp
Lmbr spina bifida wo hydrocephalus open
Lmbr spina bifida wo hydrocephalus clsd
Sacr spina bifida wo hydrocephalus unsp
Sacr spina bifida open
Sacr spina bifida closed
Spina bifida, unspecified unsp
Spina bifida, unspecified open
Spina bifida unspecified closed
Arnold-Chiari syndrome
ICD-10-AM
3001701
3002000
3002300
3002301
3022900
3846400
4500300
4500600
4500900
4501200
4501500
4501501
4505400
4520000
4520300
4520600
4520601
4520602
4520603
4520604
4520605
4520606
4520607
4520608
4520609
4520610
4520611
4520900
4521200
4521500
4521800
4522100
4522400
4522700
4523000
4523001
4523300
4523301
4523600
4523900
4523901
4523902
4549600
5th edition Debridement and Pedicle Graft procedure codes:
Exc debride brn < 10% BSA exc / debride
Exc debride brn > 10% BSA exc / debride
Excisional debridement of soft tissue
Debride sft tis incl bone or cart
Excision of muscle, NEC
Debridement of sternotomy wound
Simple and small local myocutaneous flap
Large myocutaneous flap
Simple and small local muscle flap
Large muscle flap
Delay of muscle flap
Delay of myocutaneous flap
Escharotomy
Simple & small local skin flap, oth site
Complicated/large local sk flap any site
Simple & small local skin flap of eyelid
Simple and small local skin flap of nose
Simple and small local skin flap of lip
Simple and small local skin flap of ear
Simple and small local skin flap of neck
Simple and small local skin flap of hand
Simple & small local skin flap of thumb
Simple & small local skin flap of finger
Simple & small local skin flap, genitals
Simp & sm loc sk flp of oth areas of fce
Simple and small local skin flap of foot
Simple and small local skin flap of toe
Large dir distant skin flap, first stage
Large dir distant skin flap second stage
Cross leg dir distant sk flap 1st stage
Cross leg dir distant sk flap, 2nd stage
Small dir distant skin flap, first stage
Small dir distant skin flap second stage
Indir distant sk flap frm tubed pedicle
Delay of direct distant skin flap
Delay of indirect distant skin flap
Indir dist skin flap, intermediate site
Indirect distant skin flap, final site
Indir dist sk flap spread tubed pedicle
Revision of local skin flap
Revision of direct distant skin flap
Revision of indirect distant skin flap
Open revision of free tissue flap
4549700
4549800
4549900
4553000
4553001
4553300
4553600
4554500
4554501
4554502
4556200
4556201
4556300
4556301
4567100
4567400
4638400
4650400
9066500
9068600
9068601
Compl rev free tissue flap, liposuction
Rev free tissue flap liposuction, stg 1
Rev free tissue flap liposuction, stg 2
Recon breast using myocutaneous flap
Reconstruction breast usg omental flap
Recon brst using sharing tech first stg
Recon breast usg brst share tech second
Reconstruction of nipple
Reconstruction of areola
Reconstruction of nipple and areola
Noninnervated free flap
Innervated free flap
Island flap with vascular pedicle
Island flap with neurovascular pedicle
Recon lip using flap sgl / first stage
Reconstruction lip usg flap second stage
Local skin flap rep Dupuytren's contract
Neurovasc island flp hand pulp innervatn
Exc debridement skin & sbc tissue
Nonexcisional debridement of burn
Non exc debridement skin & sbc tissue
Failure to Rescue (PSI 4)
Numerator:
Episodes with a separation type of “death”.
Denominator:
Episodes, 18 years and older, with an ICD-10-AM diagnosis code for potential complication of care (i.e.
acute renal failure, DVT/PE, pneumonia, sepsis, shock or cardiac arrest, and GI haemorrhage/acute renal
failure) in any secondary diagnosis field.
Exclude:
•
Episodes 75 years and older.
•
MDC 15 (Newborns and Other Neonates).
•
Epiosdes transferred from an acute care facility.
•
Episodes admitted from a long-term care facility.
Note: Additional exclusion criteria apply to each diagnosis.
FTR 1 – Acute renal failure
Include ICD-10-AM acute renal failure diagnosis codes.
ICD-10-AM
N170
N171
N172
N178
N179
O084
O904
5th edition acute renal failure diagnosis codes:
Acute renal failure w tubular necrosis
Ac renal failure w ac cortical necrosis
Acute renal failure w medullary necrosis
Other acute renal failure
Acute renal failure unspecified
Renal fail foll abortn ectop molar preg
Postpartum acute renal failure
Exclude episodes with a principal diagnosis of acute renal failure, trauma, haemorrhage, shock, GI
haemorrhage, acute myocardial infarction, cardiac arrhythmia, or cardiac arrest.
See
See
See
See
See
See
See
Appendix
Appendix
Appendix
Appendix
Appendix
Appendix
Appendix
ICD-10-AM
I460
I461
I469
C: Trauma Diagnosis Codes
G: Haemorrhage Diagnosis Codes
H: Shock Diagnosis Codes
I: Gastrointestinal (GI) Haemorrhage Diagnosis Codes
J: Trauma DRGs
M: Acute Myocardial Infarction (AMI) Diagnosis Codes
N: Cardiac Arrhythmia Diagnosis Codes
5th edition Cardiac Arrest diagnosis codes:
Cardiac arrest w success resuscitation
Sudden cardiac death so described
Cardiac arrest unspecified
FTR 2 – DVT/PE
Include ICD-10-AM DVT/PE diagnosis codes.
See Appendix K: Deep Vein Thrombosis/Pulmonary Embolism (DVT/PE) Diagnosis Codes
Exclude episodes with a principal diagnosis of DVT/PE, abortion related and postpartum obstetric pulmonary
embolism.
ICD-10-AM
O032
O037
O042
O047
5th edition Abortion Related and Postpartum Obstetric Pulmonary Embolism diagnosis codes:
Spont abortion incomp complic embolism
Spont abortn compl or unsp w embolism
Medical abortn incomp w embolism
Medical abortn compl unsp w embolism
O052
O057
O062
O067
O072
O077
O082
O882
Oth abortion incomp w embolism
Oth abortn complete or unsp w embolism
Unsp abortn incomp w embolism
Unsp abortn compl / unsp w embolism
Failed medical abortn w embolism
Oth unsp fail attempt abortn w embol
Embolism foll abortn ectop molar preg
Obstetric blood clot embolism
FTR 3 – Pnuemonia
Include ICD-10-AM pneumonia diagnosis codes.
ICD-10-AM
J14
J150
J151
J152
J153
J154
J155
J156
J158
J159
J170
J180
J182
J188
J189
J690
5th edition pnuemonia diagnosis codes:
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 dt other aerobic gram neg bact
Other bacterial pneumonia
Bacterial pneumonia unspecified
Pneumonia in bact dis class elsewhere
Bronchopneumonia unspecified
Hypostatic pneumonia unspecified
Other pneumonia organism unspecified
Pneumonia unspecified
Pneumonitis due to food and vomit
Exclude episodes with a principal diagnosis of pneumonia, any diagnosis of viral pneumonia or
immunocompromised state, or MDC 4 (Diseases and Disorders of the Respiratory System).
See Appendix D: Codes for Immunocompromised States
ICD-10-AM
B440
B441
J09
J100
J101
J108
J110
J111
J118
J120
J121
J122
J128
J129
J13
J157
J160
J168
J171
J172
J173
J178
5th edition Viral Pneumonia diagnosis codes:
Invasive pulmonary aspergillosis
Other pulmonary aspergillosis
Influenza dt id avian influenza virus
Influenza w pneumonia other virus id
Influenza w oth resp manif oth virus id
Influenza w oth manif other virus id
Influenza w pneum virus not identified
Influenza w oth resp manif virus not id
Influenza w oth manif virus not id
Adenoviral pneumonia
Respiratory syncytial virus pneumonia
Parainfluenza virus pneumonia
Other viral pneumonia
Viral pneumonia unspecified
Pneumonia dt Streptococcus pneumoniae
Pneumonia dt Mycoplasma pneumoniae
Chlamydial pneumonia
Pneumonia dt oth spec infect organisms
Pneumonia in viral dis class elsewhere
Pneumonia in mycoses
Pneumonia in parasitic diseases
Pneumonia in other dis class elsewhere
J181
J954
J955
J958
J959
U049
Lobar pneumonia unspecified
Mendelson's syndrome
Postprocedural subglottic stenosis
Other postproc respiratory disorders
Postprocedural respiratory disorder unsp
Severe acute resp syndrome [SARS], unsp
FTR 4 – Sepsis
Include ICD-10-AM sepsis diagnosis codes.
ICD-10-AM
A400
A401
A402
A403
A408
A409
A410
A411
A412
A413
A414
A4150
A4151
A4152
A4158
A418
A419
A499
5th edition Sepsis diagnosis codes:
Sepsis dt streptococcus group A
Sepsis dt streptococcus group B
Sepsis dt streptococcus group D
Sepsis dt Streptococcus pneumoniae
Other streptococcal sepsis
Streptococcal sepsis unspecified
Sepsis due to Staphylococcus aureus
Sepsis dt other spec staphylococcus
Sepsis due to unsp staphylococcus
Sepsis dt Haemophilus influenzae
Sepsis due to anaerobes
Sepsis dt unsp Gram neg organisms
Sepsis dt Escherichia coli (E coli)
Sepsis due to Pseudomonas
Sepsis dt other gram neg organisms
Other specified sepsis
Sepsis, unspecified
Bacterial infection unspecified
Exclude episodes with a principal diagnosis of sepsis or infection, any diagnosis of immunocompromised
state, or a length of stay less than 3 days.
See Appendix D: Codes for Immunocompromised States
See Appendix P: Infection Diagnosis Codes and DRGs
FTR 5 – Shock or Cardiac Arrest
Include ICD-10-AM shock and cardiac arrest codes.
ICD-10-AM
I460
I461
I469
O083
O751
R092
R457
R570
R571
R578
R579
T780
T782
T805
T811
T882
T886
5th edition Shock and Cardiac Arrest diagnosis codes:
Cardiac arrest w success resuscitation
Sudden cardiac death so described
Cardiac arrest unspecified
Shock foll abortn ectop molar pregnancy
Shock during or foll labour & delivery
Respiratory arrest
State of emotional shock and stress unsp
Cardiogenic shock
Hypovolaemic shock
Other shock
Shock unspecified
Anaphylactic shock dt adv food react
Anaphylactic shock unspecified
Anaphylactic shock due to serum
Shock during or due to a procedure NEC
Shock due to anaesthesia
Anaphyl shk dt adv eff drug proper admin
ICD-10-AM 5th edition Resusitation procedure codes:
9204200
9205200
9205300
Nonmechanical methods of resuscitation
Cardiopulmonary resuscitation
Closed chest cardiac massage
Exclude episodes with a principal diagnosis of shock or cardiac arrest, any diagnosis of trauma,
haemorrhage or GI haemorrhage, MDC 4 (Diseases and Disorders of the Respiratory System) or MDC 5
(Diseases and Disorders of the Circulatory System).
See
See
See
See
Appendix
Appendix
Appendix
Appendix
C: Trauma Diagnosis Codes
G: Haemorrhage Diagnosis Codes
I: Gastrointestinal (GI) Haemorrhage Diagnosis Codes
J: Trauma DRGs
FTR 6 – GI Haemorrhage/Acute Ulcer
Include ICD-10-AM GI haemorrhage/acute ulcer codes.
ICD-10-AM
I850
I9821
K226
K250
K251
K252
K253
K259
K260
K261
K262
K263
K269
K270
K271
K272
K273
K279
K280
K281
K282
K283
K289
K290
K3182
K5522
K5701
K5703
K5711
K5713
K5721
K5723
K5731
K5733
K5741
K5743
K5751
K5753
K5781
K5783
5th edition GI Haemorrhage and Acute Ulcer diagnosis codes:
Oesophageal varices with bleeding
Oesophageal varices in dis cl/e w bleed
Gastro-oesophageal laceration-haem syndr
Gastric ulcer acute with haemorrhage
Gastric ulcer acute with perforation
Acute gastric ulcer w haem & perforation
Acute gastric ulcer without haem or perf
Gastrc ulcer ? ac / chr wo haem / perf
Duodenal ulcer acute with haemorrhage
Duodenal ulcer acute with perforation
Acute duodenal ulcer w haem & perf
Acute duodenal ulcer wo haem or perf
Duodenal ulcer unsp wo haem or perf
Peptic ulcer acute with haemorrhage
Peptic ulcer acute with perforation
Acute peptic ulcer with haem & perf
Acute peptic ulcer without haem or perf
Peptic ulcer ? ac / chr wo haem or perf
Acute gastrojejunal ulcer w haemorrhage
Acute gastrojejunal ulcer w perforation
Acute gastrojejunal ulcer w haem & perf
Acute gastrojejunal ulcer wo haem / perf
Gastjejnl ulcr ? ac / chr wo haem / perf
Acute haemorrhagic gastritis
Angiodysplasia w haemorrhage
Angiodysplasia of colon with haemorrhage
Divertic sm intestine w haem perf & abs
Diverlitis sm intest w haem perf & abs
Divertic sm intest wo perf abs w haem
Diverlitis sm intest wo perf abs w haem
Divertic large intest w haem perf & abs
Diverlitis lrg intest w haem perf & abs
Divertic lrg intest wo perf abs w haem
Diverlitis lrg intest wo perf abs w haem
Divertic both intest w haem perf & abs
Diverlitis both intest w haem perf & abs
Divertic both intest wo perf abs w haem
Diverlitis bth intest wo perf abs w haem
Divertic intest unsp w haem perf & abs
Diverlitis intest unsp w haem perf & abs
K5791
K5793
K625
K920
K921
K922
Divertic intest unsp wo perf abs w haem
Diverlitis intest ? wo perf abs w haem
Haemorrhage of anus and rectum
Haematemesis
Melaena
Gastrointestinal haemorrhage unsp
Exclude episodes with a principal diagnosis of GI haemorrhage/acute ulcer, alcoholism or an ICD-10-AM 5th
edition diagnosis code D500 or D62, any diagnosis of trauma, MDC 6 (Diseases and Disorders of the
Digestive System) or MDC 7 (Diseases and Disorders of the Hepatobiliary System and Pancreas).
See Appendix C: Trauma Diagnosis Codes
See Appendix J: Trauma DRGs
D500
D62
Iron deficiency anaemia dt blood loss
Acute posthaemorrhagic anaemia
ICD-10-AM
F100
F101
F102
F103
F104
F105
F106
F107
F108
F109
I426
K292
K700
K701
K702
K703
K704
K709
T510
T519
5th edition Alcolholism diagnosis codes:
Ment & beh disrd dt alcohol use ac intox
Ment & beh disrd dt harmful alcohol use
Ment & beh disrd dt alco use dep syndr
Ment & beh disrd dt alco use withdr st
Ment & beh disrd dt alco withdr w del
Ment & beh disrd dt alco use psych disrd
Ment & beh disrd dt alcohol use amnesic
Ment & beh disrd dt alco res late psych
Ment beh disrd alco oth ment beh disrd
Ment beh disrd dt alco ? ment beh disrd
Alcoholic cardiomyopathy
Alcoholic gastritis
Alcoholic fatty liver
Alcoholic hepatitis
Alcoholic fibrosis & sclerosis of liver
Alcoholic cirrhosis of liver
Alcoholic hepatic failure
Alcoholic liver disease unspecified
Ethanol
Alcohol unspecified
Foreign Body Left During Procedure (PSI 5)
Numerator:
Episodes with an ICD-10-AM diagnosis code for foreign body left during procedure in any secondary
diagnosis field.
ICD-10-AM
T815
T816
Y610
Y611
Y612
Y613
Y614
Y615
Y616
Y617
Y618
Y619
5th edition Foreign Body Left During Procedure diagnosis codes:
FB left in body cv or op wound foll proc
Ac react foreign subs left during proc
FB left in body during surg operation
FB left in body during infus or transfn
FB left in body kidny dialys oth perfn
FB left in body injection immunisation
FB left in body endoscopic exam
FB left in body during heart cath
FB left in body aspr punct & oth cath
FB left in body removal cath packing
FB left in body oth surg & med care
FB left in body unsp surg & med care
Denominator:
All episodes, 18 years and older or MDC 14.
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for foreign body left during procedure in the principal
diagnosis field.
Iatrogenic Pneumothorax (PSI 6)
Numerator:
Episodes with an ICD-10-AM diagnosis code for pnuemothorax in any secondary diagnosis field.
ICD-10-AM
J930
J931
J938
J939
5th edition Pnuemothorax diagnosis codes:
Spontaneous tension pneumothorax
Other spontaneous pneumothorax
Other pneumothorax
Pneumothorax unspecified
Denominator:
All episodes, 18 years and older.
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for pnuemothorax in the principal diagnosis field.
•
MDC 14 (Pregnancy, Childbirth, and Puerperium).
•
Episodes with an ICD-10-AM diagnosis code of chest trauma or pleural effusion.
•
Episodes with an ICD-10-AM procedure code of diaphragmatic surgery repair.
•
Episodes with any code indicating thoracic surgery, or lung or pleural biopsy.
•
Cardiac surgery DRGs.
ICD-10-AM
A150
A151
A152
A153
A156
A157
A160
A161
A162
A165
A167
C782
J90
J91
J940
J942
J948
J949
S128
S200
S2010
S2011
S2018
S202
S2030
S2031
S2038
S2040
S2041
S2048
S207
S2080
S2081
S2088
5th edition Chest Trauma and Pleural Effusion diagnosis codes:
TB lung conf sputm mico w or wo cult
TB lung confirmed by culture only
TB lung confirmed histologically
TB lung confirmed by unspecified means
Tuberculous pleurisy conf bact & histo
Primary respiratory TB conf bact & histo
TB lung negative bact & histo
TB lung no bact & histo exam done
TB lung wo bact & histo confirmation
Tubrcul pleurisy wo bact & histo conf
Primary resp TB wo bact & histo conf
Secondary malignant neoplasm of pleura
Pleural effusion NEC
Pleural effusion in conditions cl/e
Chylous effusion
Haemothorax
Other specified pleural conditions
Pleural condition unspecified
Fracture of other parts of neck
Contusion of breast
Oth & unsp spfl inj breast unsp
Oth & unsp spfl inj breast abrasion
Oth & unsp spfl inj breast other
Contusion of thorax
Oth spfl inj front wall thorax unsp
Oth spfl inj front thrx abrasion
Oth spfl inj front thorax other
Oth spfl inj back wall thorax unsp
Oth spfl inj back wall thrx abrasion
Oth spfl inj back wall thorax, oth
Multiple superficial injuries of thorax
Spfl injury oth & unsp thorax unsp
Abrasion oth & unsp parts thorax
Spfl inj oth & unsp parts thorax oth
S211
S212
S217
S2181
S2182
S2183
S2188
S219
S222
S2231
S2232
S2240
S2241
S2242
S2243
S2244
S225
S228
S229
S243
S244
S245
S246
S250
S251
S252
S253
S254
S255
S257
S258
S259
S2681
S2682
S2683
S2688
S269
S270
S271
S272
S2731
S2732
S2738
S274
S275
S276
S277
S2781
S2782
S2783
S2784
S2788
S279
S280
S281
S298
S300
Open wound of front wall of thorax
Open wound of back wall of thorax
Multiple open wounds of thoracic wall
Open wound (of any part thrx) comm w fx
Open wound thrx comm w disloc
Open wound thrx comm w intrathor inj
Open wound of other parts of thorax
Open wound of thorax part unspecified
Fracture of sternum
Fracture of first rib
Fracture of one rib oth than first rib
Multiple rib fractures unspecified
Multiple rib fractures inv first rib
Multiple rib fractures inv two ribs
Multiple rib fractures inv three ribs
Multiple rib fractures inv >= four ribs
Flail chest
Fracture of other parts of bony thorax
Fracture of bony thorax part unsp
Injury of peripheral nerves of thorax
Injury of thoracic sympathetic nerves
Injury of other nerves of thorax
Injury of unspecified nerve of thorax
Injury of thoracic aorta
Injury 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 multiple blood vessels thorax
Injury of other blood vessels of thorax
Injury of unsp blood vessel of thorax
Contusion of heart
Lacr heart wo penetration into chamber
Lacr heart w penetration into chamber
Other injuries of heart
Injury of heart unspecified
Traumatic pneumothorax
Traumatic haemothorax
Traumatic haemopneumothorax
Contusion and haematoma of lung
Laceration of lung
Other and unspecified injuries of lung
Injury of bronchus
Injury of thoracic trachea
Injury of pleura
Multiple injuries of intrathoracic org
Injury of diaphragm
Injury of lymphatic thoracic duct
Injury of oesophagus (thoracic part)
Injury of thymus gland
Inj oth spec intrathor organs & str
Injury of unsp intrathoracic organ
Crushed chest
Traumatic amputation of part of thorax
Other specified injuries of thorax
Contusion of lower back and pelvis
S307
S3080
S3081
S3088
S3090
S3091
S3098
S310
S327
S345
S346
S348
S381
T0210
T0211
T041
T044
T047
T048
T049
T0900
T0901
T0905
T0908
Mult spfl inj abdo low back pelvis
Oth spfl inj abdo low back pelv unsp
Oth spfl inj abdo low back abrasion
Oth spfl inj abdo low back pelv oth
Spfl inj abdo low back part unsp unsp
Spfl inj abdo low back pelv part ? Abrsn
Oth spfl inj abdo low back part unsp oth
Open wound of lower back and pelvis
Multiple fractures lumbar spine w pelvis
Inj lmbr sacral pelv sympathetic nerves
Inj perph nerve abdo lower back pelvis
Inj oth & unsp nrv abdo low back lvl
Crush inj oth parts abdo low back pelv
Fx inv thorax w lower back pelvis closed
Fx inv thorax w lower back pelvis open
Crush inj inv thrx w abdo low back pelv
Crush inj inv mult rgn upp w low limb
Crush inj thrx abdo low back pelv limb
Crush inj inv oth cmb body regions
Multiple crushing injuries unspecified
Unsp superficial injury trunk level unsp
Abrasion of trunk level unspecified
Contusion of trunk level unspecified
Oth superficial injury trunk level unsp
ICD-10-AM
9016300
3009000
3029300
3029301
3029302
3029400
3032000
3049001
3052700
3052701
3052702
3052703
3052704
3052705
3052900
3052901
3053000
3053200
3053201
3053202
3053203
3053204
3053205
3053300
3053301
3053302
3053303
3053304
3053305
3053500
3053600
5th edition Diaphragmatic Surgery Repair procedure codes:
Other endoscopic excision of bronchus
Percutaneous needle biopsy of pleura
Oesophagostomy
Closure of oesophagostomy
Oesophagotomy
Cervical oesophagectomy
Exploration mediastinum v mediastinotomy
Endosc replace of oesophageal prosthesis
Fundoplasty, laparoscopic approach
Lap fundoplasty w closure diaph hiatus
Fundoplasty, abdominal approach
Abdo fundoplasty w closure diaph hiatus
Fundoplasty, transthoracic approach
Trnsthorc fundoplasty w cls diaph hiatus
Abdominal fundoplasty w oesophagoplasty
Trnsthorc fundoplasty w oesophagoplasty
Fundoplasty with cardiopexy
Oesophagogastric myotomy, lap appr
Abdo oesphgast myotomy cls diaph hiatus
Oesophagogastric myotomy, abdominal appr
Thor oesphgast myotomy cls diaph hiatus
Oesophagogastric myotomy, thoracic appr
Lap oesphgast myotmy w cls diaph hiatus
Abdo oesphgast myotomy w fundoplasty
Abdo oesphgast myotmy fundoply cls hiat
Thor oesophagogastric myotomy fundoply
Thor oesphgast myotmy fundoply cls hiat
Lap oesophagogastric myotomy fundoplasty
Lap oesphgast myotmy fundoply cls hiat
Oesphecty w thor oesphgast anstms
Oesphecty w cerv oesphgast anstms
3053601
3054100
3054101
3054500
3054501
3055000
3055001
3055400
3055401
3055900
3056000
3060600
3146600
3841200
3841500
3841800
3841801
3841802
3841804
3842100
3842101
3842400
3842401
3842700
3843000
3843001
3843600
3843601
3843800
3843801
3843802
3843803
3844000
3844001
3844100
3844101
3844602
3844603
3844800
3844801
3845308
3845602
3845603
3845604
3845620
3845700
3845701
3845800
3846600
3864700
3865601
4182800
4187903
4187904
4188301
4189200
4189201
Oesophagectomy w cerv oesophagostomy
Trnshtl oesphecty w oesphgast anstms
Trnshtl oesphecty w oesophgojejnl anstms
Oesophagectomy w colon interposition
Oesophagectomy w Roux-en-Y thor anstms
Oesphecty w cerv anstms, colon interpstn
Oesophagectomy w Roux-en-Y cerv anstms
Oesophagectomy w recon, free jejunal flp
Oesophagectomy w recon by oth free flap
Local excision of lesion of oesophagus
Repair of oesophageal perforation
Oesophageal transection via stapler
Revision fundoplasty
Percutaneous needle biopsy of lung
Incision of pleura
Exploratory thoracotomy
Biopsy of pleura
Biopsy of lung
Incision of lung
Endoscopic pulmonary decortication
Pulmonary decortication
Pleurectomy
Enucleation of pulmonary hydatid cyst
Thoracoplasty, complete
Thoracoplasty, staged, 1st stage
Thoracoplasty staged 2nd/subsequent stg
Thoracoscopy
Endoscopic division of pleural adhesions
Segmental resection of lung
Lobectomy of lung
Pneumonectomy
Removal donor lung for transplantation
Wedge resection of lung
Radical wedge resection of lung
Radical lobectomy
Radical pneumonectomy
R/O lesion mediastinum via thoracotomy
R/O lesion mediastinum via sternotomy
Exploration mediastinum v cervical route
Mediastinoscopy
Repair trachea, intrathoracic approach
Oth proc on lung & pleura intrathor appr
Oth intrathor proc ch wall/mediast/diaph
Other proc bronchus, intrathoracic appr
Other intrathoracic proc on oesophagus
Repair of pectus carinatum
Repair of pectus excavatum
Rep pectus excavatum w impl sbc prosth
Reop sternum inv reopening mediastinum
Division of thoracic adhesions
Reopn of thoracotomy or sternotomy site
Nonendoscopic dilation of oesophagus
Closure of other fistula of trachea
Repair of trachea, cervical approach
Open tracheostomy, permanent
Bronchoscopy with biopsy
Bronchoscopy with excision of lesion
4189500
4189801
4190100
4384300
4384301
4384302
4385200
4385500
4390000
4390300
4390600
4390601
4391200
4398700
4866000
4866900
9016200
9016300
9016500
9016600
9016900
9017000
9017200
9017201
9017300
9017400
9017500
9017501
9017502
9017600
9017700
9017800
9018000
9018100
9020501
9030000
9030100
9095400
Bronchoscopy w removal foreign body
Fibreoptic bronchoscopy with biopsy
Endoscopic laser resec lesion bronchus
Repair of oesophageal atresia
Rep oesoph atresia dstl trachoesph fist
Rep oesoph atrs prx/mult trachoesph fist
Closure trachoesph fistula v thoracotomy
Delayed prim anstms oesophageal atresia
Closure of tracheo-oesophageal fistula
Replace oesophagus usg intestine, paed
Partial resec oesophagus w anstms paed
Total resec oesophagus w anstms, paed
Excision bronchogenic cyst v thoracotomy
Excision of intrathoracic neuroblastoma
Anterior spinal fusion, 1 level
Anterior spinal fusion, >= 2 levels
Other procedures on trachea
Other endoscopic excision of bronchus
Other procedures on bronchus
Division of pleural adhesions
Endoscopic wedge resection of lung
Lung volume reduction surgery
Sequential single lung trnsplnt bil
Other transplantation of lung
Other repair of lung or pleura
Revision CSF shunt at pleural site
Other procedures on chest wall
Other procedures on mediastinum
Other procedures on diaphragm
Repair of chest wall
Repair of thoracoabdominal duplication
Other repair of diaphragm
Insertion of pleuroperitoneal shunt
Destruction procedures on lung
Heart and lung transplantation
Repair of oesophageal duplication
Other procedures on oesophagus
Other reconstruction of oesophagus
AR-DRG version 5.1 Cardiac Surgery DRGs:
A05Z
Heart transplant
A03Z
Lung or Heart/Lung Transplant
F03Z
Cardiac Valve Proc W CPB Pump W Invasive Cardiac Investigation
F04A
Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W Cat CC
F04B
Cardiac Valve Proc W CPB Pump W/O Invasive Cardiac Inves W/O Cat CC
F05A
Coronary Bypass W Invasive Cardiac Inves W Catastrophic CC
F05B
Coronary Bypass W Invasive Cardiac Inves W/O Catastrophic CC
F07A
Other Cardiothoracic/Vascular Procedures W CPB Pump W Catastrophic CC
F07B
Other Cardiothoracic/Vascular Procedures W CPB Pump W/O Catastrophic CC
F06A
Coronary Bypass W/O Invasive Cardiac Inves W Catastrophic or Severe CC
F06B
Coronary Bypass W/O Invasive Cardiac Inves W/O Catastrophic or Severe CC
F09A
Other cardiothoracic procedures w/o CPB pump w cat CC
F09B
Other cardiothoracic procedures w/o CPB pump w/o cat CC
F12Z
Cardiac Pacemaker Implantation
F17Z
Cardiac pacemaker replacement
F18Z
Cardiac pacemaker revision except device replacement
F01A
Implantation or replacement of AICD, total system w cat or sev CC
F01B
F02Z
F05A
F05B
F06A
F06B
Implantation or replacement of AICD, total system w/o cat or sev CC
AICD component implantation or replacement
Coronary Bypass W Invasive Cardiac Inves W Catastrophic CC
Coronary Bypass W Invasive Cardiac Inves W/O Catastrophic CC
Coronary Bypass W/O Invasive Cardiac Inves W Catastrophic or Severe CC
Coronary Bypass W/O Invasive Cardiac Inves W/O Catastrophic or Severe CC
Selected Infections Due to Medical Care (PSI 7)
Numerator:
Episodes with an ICD-10-AM diagnosis code of selected infection due to medical care in any secondary
diagnosis field.
ICD-10-AM
T802
T827
T880
5th edition Selected Infection Due to Medical Care diagnosis codes:
Infection foll infus transfn thrpc injct
Infectn inf dt oth card vasc dev impl
Infection following immunisation
Denominator:
All episodes, 18 years and older or MDC 14.
Exclude:
•
Episodes with an ICD-10-AM diagnosis code of selected infection due to medical care in the principal
diagnosis field.
•
Episodes with a length of stay less than 2 days.
•
Episodes with any code for immunocompromised state or cancer.
•
Cancer DRGs.
See Appendix D: Codes for Immunocompromised States
See Appendix E: Cancer Diagnosis Codes
See Appendix Q: Cancer DRGs
Postoperative Hip Fracture (PSI 8)
Numerator:
Episodes with an ICD-10-AM diagnosis code for hip fracture in any secondary diagnosis field.
ICD-10-AM
S7200
S7201
S7202
S7203
S7204
S7205
S7208
S7210
S7211
5th edition Hip Fracture diagnosis codes:
Fracture of neck femur part unsp
Fracture intracapsular section femur
Fx upp epiphysis (separation) femur
Fracture of subcapital section of femur
Fracture of midcervical section of femur
Fracture of base of neck of femur
Fracture of other parts of neck of femur
Fracture trochanteric section femur unsp
Fracture intertrochanteric section femur
Denominator:
All surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating room
procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for hip fracture in the principal diagnosis field.
•
Episodes with a diagnosis of seizure, syncope, stroke, coma, cardiac arrest, poisoning, trauma,
delirium and other psychosis, or anoxic brain injury in the principal diagnosis field.
•
Episodes with any diagnosis of metastatic cancer, lymphoid malignancy or bone malignancy or selfinflicted injury.
•
MDC 8 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue)
•
MDC 14 (Pregnancy, Childbirth and Puerperium)
See Appendix C: Trauma Diagnosis Codes
See Appendix J: Trauma DRGs
See Appendix L: Self-Inflicted Injury Diagnosis Codes
ICD-10-AM
C400
C401
C402
C403
C408
C409
C4101
C4102
C411
C412
C413
C414
C418
C419
C770
C771
C772
C773
C774
C775
C778
C779
5th edition Metastatic Cancer, Lymphoid Malignancy and Bone Malignancy diagnosis codes:
Malg neoplasm scapula long bones upp lmb
Malg neoplasm short bones upper limb
Malignant neoplasm long bones lower limb
Malg neoplasm short bones lower limb
Overlap malg lesion bone artlr cart limb
Malg neoplm bne & artlr cart limb unsp
Malignant neoplasm of craniofacial bones
Malignant neoplasm maxillofacial bones
Malignant neoplasm of mandible
Malignant neoplasm of vertebral column
Malignant neoplasm ribs sternum clavicle
Malg neoplasm pelvic bones sacrum coccyx
Overlap malignant lesion bone artlr cart
Malg neoplm bne & artlr cartilage unsp
Sec / unsp neoplm lymph n head fce neck
Sec / unsp neoplm intrathor lymph n
Sec / unsp neoplm intrabdo lymph n
Sec / unsp neoplm axil upp lmb lymph n
Sec / unsp neoplm ing & low limb lymph n
Sec / unsp neoplm intrapelvic lymph n
Sec / unsp neoplm lymph n mult region
Sec / unsp neoplm unsp lymph node
C780
C781
C782
C783
C784
C785
C786
C787
C788
C790
C791
C792
C793
C794
C795
C796
C797
C7981
C7982
C7988
C80
C810
C811
C812
C813
C817
C819
C820
C821
C822
C827
C829
C830
C831
C832
C833
C834
C835
C836
C837
C838
C839
C840
C841
C842
C843
C844
C845
C850
C851
C857
C859
C8800
C8801
C8810
C8811
C8820
C8821
Secondary malignant neoplasm of lung
Sec malignant neoplasm mediastinum
Secondary malignant neoplasm of pleura
Sec malg neoplasm oth / unsp resp organ
Sec malignant neoplasm small intestine
Sec malg neoplm large intestine & rectum
Sec malg neoplm retperitonm & peritoneum
Secondary malignant neoplasm of liver
Sec malg neoplasm oth / unsp digest org
Sec malg neoplasm kidney & renal pelvis
Sec neoplm bladder oth / unsp urin org
Secondary malignant neoplasm of skin
Sec malg neoplm brain cerebral meninges
Sec malg neoplasm oth / unsp nrvs system
Sec malg neoplasm bone & bone marrow
Secondary malignant neoplasm of ovary
Sec malignant neoplasm adrenal gland
Secondary malignant neoplasm of breast
Sec malignant neoplasm genital organs
Sec malignant neoplasm other spec sites
Malignant neoplasm wo site specification
Hodgkin dis lymphocytic predominance
Hodgkin disease nodular sclerosis
Hodgkin disease mixed cellularity
Hodgkin disease lymphocytic depletion
Other Hodgkin disease
Hodgkin disease unspecified
Small cleaved cell follicular NHL
Mixed small cleaved large cell fol NHL
Large cell follicular NHL
Other types follicular NHL
Follicular NHL unspecified
Small cell (diffuse) NHL
Small cleaved cell (diffuse) NHL
Mixed small & large cell (diffuse) NHL
Large cell (diffuse) NHL
Immunoblastic (diffuse) NHL
Lymphoblastic (diffuse) NHL
Undifferentiated (diffuse) NHL
Burkitt tumour
Other types diffuse NHL
Diffuse NHL unspecified
Mycosis fungoides
Sézary disease
T-zone lymphoma
Lymphoepithelioid lymphoma
Peripheral T-cell lymphoma
Other and unspecified T-cell lymphomas
Lymphosarcoma
B-cell lymphoma unspecified
Other specified types of NHL
NHL unspecified type
Waldenström macroglobulinaemia wo rem
Waldenström macroglobulinaemia in rem
Alpha heavy chain disease wo remission
Alpha heavy chain disease in remission
Gamma heavy chain disease wo remission
Gamma heavy chain disease in remission
C8830
C8831
C8870
C8871
C8890
C8891
C9000
C9001
C9010
C9011
C9020
C9021
C9100
C9101
C9110
C9111
C9120
C9121
C9130
C9131
C9140
C9141
C9150
C9151
C9170
C9171
C9190
C9191
C9200
C9201
C9210
C9211
C9220
C9221
C9230
C9231
C9240
C9241
C9250
C9251
C9270
C9271
C9290
C9291
C9300
C9301
C9310
C9311
C9320
C9321
C9370
C9371
C9390
C9391
C9400
C9401
C9410
C9411
Immunoproliferative sm intest dis wo rem
Immunoproliferative sm intest dis in rem
Oth malg immunoproliferative dis wo rem
Oth malg immunoproliferative dis in rem
Unsp immunoproliferative dis wo rem
Unsp immunoproliferative dis in rem
Multiple myeloma without remission
Multiple myeloma in remission
Plasma cell leukaemia wo remission
Plasma cell leukaemia in remission
Plasmacytoma extramedullary wo remission
Plasmacytoma extramedullary in rem
Acute lymphoblastic leukaemia wo rem
Acute lymphoblastic leukaemia in rem
Chronic lymphocytic leukaemia wo rem
Chronic lymphocytic leukaemia in rem
Subacute lymphocytic leukaemia wo rem
Subacute lymphocytic leukaemia in rem
Prolymphocytic leukaemia wo remission
Prolymphocytic leukaemia in remission
Hairy-cell leukaemia without remission
Hairy-cell leukaemia in remission
Adult T-cell leukaemia without remission
Adult T-cell leukaemia in remission
Other lymphoid leukaemia wo remission
Other lymphoid leukaemia in remission
Lymphoid leukaemia unsp wo remission
Lymphoid leukaemia unsp in remission
Acute myeloid leukaemia wo remission
Acute myeloid leukaemia in remission
Chronic myeloid leukaemia wo remission
Chronic myeloid leukaemia in remission
Subacute myeloid leukaemia wo remission
Subacute myeloid leukaemia in remission
Myeloid sarcoma without remission
Myeloid sarcoma in remission
Acute promyelocytic leukaemia wo rem
Acute promyelocytic leukaemia in rem
Acute myelomonocytic leukaemia wo rem
Acute myelomonocytic leukaemia in rem
Other myeloid leukaemia wo remission
Other myeloid leukaemia in remission
Myeloid leukaemia unsp wo remission
Myeloid leukaemia unsp in remission
Acute monocytic leukaemia wo remission
Acute monocytic leukaemia in remission
Chronic monocytic leukaemia wo remission
Chronic monocytic leukaemia in remission
Subacute monocytic leukaemia wo rem
Subacute monocytic leukaemia in rem
Other monocytic leukaemia wo remission
Other monocytic leukaemia in remission
Monocytic leukaemia unsp wo remission
Monocytic leukaemia unsp in remission
Ac erythraemia & erythroleukaemia wo rem
Ac erythraemia & erythroleukaemia in rem
Chronic erythraemia without remission
Chronic erythraemia in remission
C9420
C9421
C9430
C9431
C9440
C9441
C9450
C9451
C9470
C9471
C9500
C9501
C9510
C9511
C9520
C9521
C9570
C9571
C9590
C9591
C960
C961
C962
C963
C967
C969
Acute megakaryoblastic leukaemia wo rem
Acute megakaryoblastic leukaemia in rem
Mast cell leukaemia without remission
Mast cell leukaemia in remission
Acute panmyelosis without remission
Acute panmyelosis in remission
Acute myelofibrosis without remission
Acute myelofibrosis in remission
Other specified leukaemias wo remission
Other specified leukaemias in remission
Acute leukaemia unsp cell type wo rem
Acute leukaemia unsp cell type in rem
Chr leukaemia unsp cell type wo rem
Chr leukaemia unsp cell type in rem
Subac leukaemia unsp cell type wo rem
Subac leukaemia unsp cell type in rem
Oth leukaemia of unsp cell type wo rem
Oth leukaemia of unsp cell type in rem
Leukaemia unspecified without remission
Leukaemia unspecified in remission
Letterer-Siwe disease
Malignant histiocytosis
Malignant mast cell tumour
True histiocytic lymphoma
Other spec neoplm lymphoid, haemat & tis
Neoplasm lymphoid haemat tissue unsp
ICD-10-AM 5th edition Seizure, Syncope, Stroke, Coma, Cardiac arrest, Poisoning, Delirium and Other
Psychosis, and Anoxic Brain Injury diagnosis codes:
E035
Myxoedema coma
E1012
Type 1 DM w ketoacidosis w coma
E1014
Type 1 DM w lactic acidosis w coma
E1016
Type 1 DM w keto lactic acidosis w coma
E1064
Type 1 diabetes mellitus w hypoglycaemia
E1102
Type 2 DM w hyperosmolarity with coma
E1112
Type 2 DM w ketoacidosis, w coma
E1114
Type 2 DM w lactic acidosis, w coma
E1116
Type 2 DM w keto lactic acidosis w coma
E1164
Type 2 diabetes mellitus w hypoglycaemia
E1302
Other spec DM w hyperosmolarity, w coma
E1312
Other spec DM w ketoacidosis, w coma
E1314
Other spec DM w lactic acidosis, w coma
E1316
Oth DM w keto w lactic acidosis w coma
E1364
Other spec DM w hypoglycaemia
E1402
Unsp DM w hyperosmolarity, w coma
E1412
Unspecified DM w ketoacidosis, w coma
E1414
Unspecified DM w lactic acidosis, w coma
E1416
Unsp DM w keto / lactic acidosis w coma
E1464
Unsp DM w hypoglycaemia
E15
Nondiabetic hypoglycaemic coma
F000
Early dementia in Alzheimer's dis
F001
Late dementia in Alzheimer's dis
F002
Alzheimer's dementia atypic / mixed
F009
Alzheimer's dementia unsp
F010
Vascular dementia of acute onset
F011
Multi-infarct dementia
F012
Subcortical vascular dementia
F013
Mx cortical & subcortical vasc dementia
F018
F019
F020
F021
F022
F023
F024
F028
F03
F0400
F0401
F0402
F0403
F049
F050
F051
F058
F059
F060
F061
F062
F0630
F0631
F0632
F0633
F0634
F0639
F064
F065
F066
F067
F068
F069
F101
F102
F103
F104
F105
F106
F107
F108
F109
F111
F112
F113
F114
F115
F116
F117
F118
F119
F121
F122
F123
F124
F125
F126
F127
Other vascular dementia
Vascular dementia unspecified
Dementia in Pick's disease
Dementia in Creutzfeldt-Jakob dis
Dementia in Huntington's disease
Dementia in Parkinson's disease
Dementia in HIV disease
Dementia in oth spec dis class elsewhere
Unspecified dementia
Post traumatic amnesia, unspecified
Post traumatic amnesia, duration < 24 hr
Post traum amnesia >= 24 hr & < 14 days
Post traumatic amnesia, >= 14 days
Amnesic syndrome, unspecified
Delirium not superimposed on dementia
Delirium superimposed on dementia
Other delirium
Delirium unspecified
Organic hallucinosis
Organic catatonic disorder
Organic delusional disorder
Organic mood [affective] disorder ?
Organic manic disorder
Organic bipolar disorder
Organic depressive disorder
Organic mixed affective disorder
Other organic mood [affective] disorder
Organic anxiety disorder
Organic dissociative disorder
Organic emotionally labile disorder
Mild cognitive disorder
Oth ment disrd dt brain dam dysf & dis
? ment disrd dt brain dam dysf & dis
Ment & beh disrd dt harmful alcohol use
Ment & beh disrd dt alco use dep syndr
Ment & beh disrd dt alco use withdr st
Ment & beh disrd dt alco withdr w del
Ment & beh disrd dt alco use psych disrd
Ment & beh disrd dt alcohol use amnesic
Ment & beh disrd dt alco res late psych
Ment beh disrd alco oth ment beh disrd
Ment beh disrd dt alco ? ment beh disrd
Ment & beh disrd dt harmful opioid use
Ment & beh disrd dt opioid use dep syndr
Ment & beh disrd dt opioid use withdr st
Ment & beh disrd dt opd withdr st w del
Ment & beh disrd dt opioids psych disrd
Ment & beh disrd dt opioids amnes syndr
Ment & beh disrd dt opd res late psych
Ment & beh disrd dt opd oth ment & beh
Ment & beh disrd dt opd ? ment beh disrd
Ment & beh disrd dt cannab use harmf use
Ment & beh disrd dt cannab use dep syndr
Ment & beh disrd dt cannab use withdr st
Ment beh disrd dt cannab withdr st w del
Ment & beh disrd dt cannab psych disrd
Ment & beh disrd dt cannab amnesic syndr
Ment beh disrd dt cannab res late psych
F128
F129
F131
F132
F133
F134
F135
F136
F137
F138
F139
F141
F142
F143
F144
F145
F146
F147
F148
F149
F151
F152
F153
F154
F155
F156
F157
F158
F159
F161
F162
F163
F164
F165
F166
F167
F168
F169
F171
F172
F173
F174
F175
F176
F177
F178
F179
F181
F182
F183
F184
F185
F186
F187
F188
F189
F191
F192
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
Ment
& beh disrd dt cannab oth ment beh
& beh disrd cannab ? ment beh disrd
& beh disrd dt harmf use sed hypn
& beh disrd dt sed hypn dep syndr
& beh disrd dt sed hypn withdr st
beh dis dt sed hypn withdr st w del
& beh disrd dt sed hypn psych dis
& beh disrd dt sed hypn amnes syndr
& beh disrd sed hypn res late psych
& beh disrd sed hypn oth ment beh
beh disrd sed hypn ? ment beh disrd
& beh disrd dt harmful use cocaine
& beh disrd dt cocaine dep syndr
& beh disrd dt cocaine withdr st
& beh disrd cocaine withdr st w del
& beh disrd dt cocaine psych disrd
& beh disrd dt cocaine amnes syndr
beh disrd dt cocaine res late psych
& beh disrd cocaine oth ment & beh
beh disrd cocaine ? ment beh disrd
& beh disrd dt harmf use stimulants
& beh disrd dt stimulants dep syndr
& beh disrd dt stimulants withdr st
beh disrd dt stimt withdr st w del
& beh disrd dt stimt psych disrd
& beh disrd dt stimt amnesic syndr
& beh disrd dt stimt res late psych
& beh disrd dt stimt oth ment & beh
beh disrd dt stimt ? ment beh disrd
& beh disrd dt harmf use hallucin
& beh disrd dt hallucin dep syndr
& beh disrd dt hallucin withdr st
beh disrd hallucin withdr st w del
& beh disrd dt hallucin psych dis
& beh disrd dt hallucin amnes syndr
& beh disrd hallucin res late psych
& beh disrd hallucin oth ment beh
beh disrd hallucin ? ment beh disrd
& beh disrd dt harmful use tobacco
& beh disrd dt use tbcc dep syndr
& beh disrd dt use tbcc withdr st
& beh disrd tobacco withdr st w del
& beh disrd dt tobacco psych disrd
& beh disrd dt tbcc amnesic syndr
& beh disrd dt tbcc res late psych
& beh disrd tbcc oth ment & beh
beh disrd dt tbcc ? ment beh disrd
& beh disrd dt harmf use vol solv
& beh disrd dt vol solv dep syndr
& beh disrd dt vol solv withdr st
beh disrd vol solv withdr st w del
& beh disrd vol solv psych disrd
& beh disrd vol solv amnes syndr
& beh disrd vol solv res late psych
beh disrd vol solv oth ment beh
beh disrd vol solv ? ment beh disrd
& beh dis harmf use mult dr psyact
& beh dis mult dr psyact dep syndr
F193
F194
F195
F196
F197
F198
F199
F200
F201
F202
F203
F204
F205
F206
F208
F209
F21
F220
F228
F229
F2300
F2301
F2310
F2311
F2320
F2321
F2330
F2331
F2380
F2381
F2390
F2391
F24
F250
F251
F252
F258
F259
F28
F29
F300
F301
F302
F308
F309
F310
F311
F312
F313
F314
F315
F316
F317
F318
F319
F3200
F3201
F3210
Ment & beh dis mult dr psyact withdr st
Ment beh disrd mult dr psyact withdr del
Ment & beh dis mult dr psyact psych dis
Ment beh dis mult dr psyact amnes syndr
Ment & beh dis mult dr psyact res & late
Ment beh mult dr psyact oth ment beh
Ment beh disrd mult dr psyact ? ment beh
Paranoid schizophrenia
Hebephrenic schizophrenia
Catatonic schizophrenia
Undifferentiated schizophrenia
Post-schizophrenic depression
Residual schizophrenia
Simple schizophrenia
Other schizophrenia
Schizophrenia unspecified
Schizotypal disorder
Delusional disorder
Other persistent delusional disorders
Persistent delusional disorder unsp
Ac plym psych disrd wo schiz wo ac stres
Ac plym psych disrd wo schiz w ac stress
Ac plym psych disrd w sym schiz wo stres
Ac plym psych disrd w sym schiz w stress
Acute schiz-like psych disrd wo ac stres
Acute schiz-like psych disrd w ac stress
Oth ac predom dlsnl psych disrd wo stres
Oth ac predom dlsnl psych disrd w stress
Other ac & trns psych disrd wo ac stress
Oth ac & trns psych disrd w ac stress
Acute & trns psych disrd ? wo ac stres
Acute & trns psych disrd ? w ac stress
Induced delusional disorder
Schizoaffective disorder manic type
Schizoaffective disrd depressive type
Schizoaffective disorder mixed type
Other schizoaffective disorders
Schizoaffective disorder unspecified
Other nonorganic psychotic disorders
Unspecified nonorganic psychosis
Hypomania
Mania without psychotic symptoms
Mania with psychotic symptoms
Other manic episodes
Manic episode unspecified
Bipolar affective disrd curr hypomanic
Bipol aff disrd curr manic wo psych sym
Bipol aff disrd curr manic w psych sym
Bipol aff disrd curr mild / mod depres
Bipol aff disrd sev depres wo psych sym
Bipol aff disrd sev depres w psych sym
Bipolar affective disrd currently mixed
Bipolar aff disrd curr in remission
Other bipolar affective disorders
Bipolar affective disorder unspecified
Mild depres ep not in postnatal period
Mild depres ep in postnatal period
Mod depres ep not in postnatal period
F3211
F3220
F3221
F3230
F3231
F3280
F3281
F3290
F3291
F330
F331
F332
F333
F334
F338
F339
F340
F341
F348
F349
F380
F381
F388
F39
F4488
F449
F61
F840
F841
F842
F843
F845
F848
F849
G4000
G4001
G4010
G4011
G4020
G4021
G4030
G4031
G4040
G4041
G4050
G4051
G4060
G4061
G4070
G4071
G4080
G4081
G4090
G4091
G410
G411
G412
G418
Mod depres ep in postnatal period
Sev depres ep wo psych sym not postnatal
Sev depres ep wo psych sym in postnatal
Sev depres ep w psych sym not postnatal
Sev depres ep w psych sym in postnatal
Other depres ep not in postnatal period
Other depres ep in postnatal period
Depres ep not in the postnatal period
Depres ep unsp in the postnatal period
Rec depressive disrd curr episode mild
Rec depressive disrd curr episode mod
Rec depres disrd curr sev wo psych
Rec depres disrd current sev w psych sym
Rec depres disrd currently in remission
Other recurrent depressive disorders
Recurrent depressive disorder unsp
Cyclothymia
Dysthymia
Oth persistent mood [affective] disrd
Persistent mood [affective] disrd unsp
Other single mood [affective] disorders
Oth recurrent mood [affective] disorders
Oth specified mood [affective] disorders
Unspecified mood [affective] disorder
Oth spec dissociative [conversion] disrd
Dissociative [conversion] disorder unsp
Mixed and other personality disorders
Childhood autism
Atypical autism
Rett's syndrome
Other childhood disintegrative disorder
Asperger's syndrome
Other pervasive developmental disorders
Pervasive developmental disorder unsp
Local-rel idiopath epil local sez wo IE
Local-rel idiopath epil local sez w IE
Local-rel sym epil simp prt sez wo IE
Local-rel sym epil simp prt sez w IE
Local-rel sym epil complx prt sez wo IE
Local-rel sym epil complx prt sez w IE
Genl idiopath epil & epil synd wo IE
Genl idiopath epil & epil synd w IE
Oth genl epil & epil synd wo IE
Oth genl epil & epil synd w IE
Special epil synd wo IE
Special epil synd w IE
Gr mal sez unsp w / wo pet mal wo IE
Gr mal sez unsp w / wo pet mal w IE
Pet mal unsp wo gr mal sez wo IE
Pet mal unsp wo gr mal sez w IE
Other epil wo IE
Other epil w IE
Epil unspecified wo IE
Epil unspecified w IE
Grand mal status epilepticus
Petit mal status epilepticus
Complex partial status epilepticus
Other status epilepticus
G419
G463
G464
G931
I460
I461
I469
I600
I601
I602
I603
I604
I605
I606
I607
I608
I609
I610
I611
I612
I613
I614
I615
I616
I618
I619
I620
I621
I629
I630
I631
I632
I633
I634
I635
I636
I638
I639
I64
K704
K720
K721
K729
R402
R410
R418
R55
R560
R568
T360
T361
T362
T363
T364
T365
T366
T367
T368
Status epilepticus unspecified
Brain stem stroke syndrome
Cerebellar stroke syndrome
Anoxic brain damage NEC
Cardiac arrest w success resuscitation
Sudden cardiac death so described
Cardiac arrest unspecified
Subarach haem, carotid siphon & bifur
Subarach haem frm middle cerebral art
Subarach haem frm ant communicating art
Subarach haem frm post comm art
Subarachnoid haem from basilar artery
Subarach haemorrhage frm vertebral art
Subarach haem from oth intracranial art
Subarach haem frm intracranial art unsp
Other subarachnoid haemorrhage
Subarachnoid haemorrhage unspecified
Intracerebral haem in hemisphere subcort
Intracereb haem in hemisphere cortical
Intracerebral haem in hemisphere unsp
Intracerebral haemorrhage in brain stem
Intracerebral haemorrhage in cerebellum
Intracerebral haem intraventricular
Intracerebral haem multiple localised
Other intracerebral haemorrhage
Intracerebral haemorrhage unspecified
Subdural haem (acute)(nontraumatic)
Nontraumatic extradural haemorrhage
Intracranial haem (nontraumatic) unsp
Cereb infrct dt thrombosis precereb art
Cereb infrct dt embolism precereb art
Cereb infrct dt unsp occlus precereb art
Cereb infarction dt thrombosis cereb art
Cereb infrct dt embolism cerebral art
Cereb infrct dt unsp occlusion cereb art
Cereb infrct dt cntrl ven thromb nonpyo
Other cerebral infarction
Cerebral infarction unspecified
Stroke not spec haemorrhage or infrct
Alcoholic hepatic failure
Acute and subacute hepatic failure
Chronic hepatic failure
Hepatic failure unspecified
Coma unspecified
Disorientation unspecified
Oth / unsp symp inv cogn fn & awareness
Syncope and collapse
Febrile convulsions
Other and unspecified convulsions
Penicillins
Cephalosporins & beta-lactam antibiotics
Chloramphenicol group
Macrolides
Tetracyclines
Aminoglycosides
Rifamycins
Antifungal antibiotics systemically used
Other systemic antibiotics
T369
T370
T371
T372
T373
T374
T375
T378
T379
T380
T381
T382
T383
T384
T385
T386
T387
T388
T389
T390
T391
T392
T393
T394
T398
T399
T400
T401
T402
T403
T404
T405
T406
T407
T408
T409
T410
T411
T412
T413
T414
T415
T420
T421
T422
T423
T424
T425
T426
T427
T428
T430
T431
T432
T433
T434
T435
T436
Systemic antibiotic unspecified
Sulfonamides
Antimycobacterial drugs
Antimalarials & dr act oth bl protozoa
Other antiprotozoal drugs
Anthelminthics
Antiviral drugs
Oth spec systc antinfect antiparasitics
Systc anti-infective antiparasitc unsp
Glucocorticoids and synthetic analogues
Thyroid hormones and substitutes
Antithyroid drugs
Insulin oral hypoglycaemic drugs
Oral contraceptives
Other oestrogens and progestogens
Antgonad antiestrgn antiandrogens NEC
Androgens and anabolic congeners
Oth unsp hormone & synthetic subst
Other and unsp hormone antagonists
Salicylates
4-Aminophenol derivatives
Pyrazolone derivatives
Oth nonsteroidal antinf drugs [NSAID]
Antirheumatics not elsewhere classified
Oth nonopioid anlgsc antipyretics NEC
Nonopioid anlgsc antipyr antirhm unsp
Opium
Heroin
Other opioids
Methadone
Other synthetic narcotics
Cocaine
Other and unspecified narcotics
Cannabis (derivatives)
Lysergide [LSD]
Oth & ? psychodysleptics [hallucinogens]
Inhaled anaesthetics
Intravenous anaesthetics
Other and unsp general anaesthetics
Local anaesthetics
Anaesthetic unspecified
Therapeutic gases
Hydantoin derivatives
Iminostilbenes
Succinimides and oxazolidinediones
Barbiturates
Benzodiazepines
Mixed antiepileptics NEC
Oth antiepileptic sed-hyp drugs
Antiepileptic sed-hyp drugs unsp
Antipark drugs oth cntrl musctone dprsnt
Tricyclic & tetracyclic antidepressants
Monoamine-oxidase-inhibitor antidprst
Other and unspecified antidepressants
Phenothiazine antpsych neuroleptics
Butyrophenone thioxanthene neuroleptics
Oth & unsp antipsychotics & neuroleptics
Psychostimulants w potential use disrd
T438
T439
T440
T441
T442
T443
T444
T445
T446
T447
T448
T449
T450
T451
T452
T453
T454
T455
T456
T457
T458
T459
T460
T461
T462
T463
T464
T465
T466
T467
T468
T469
T470
T471
T472
T473
T474
T475
T476
T477
T478
T479
T480
T481
T482
T483
T484
T485
T486
T487
T490
T491
T492
T493
T494
T495
T496
T497
Other psychotropic drugs NEC
Psychotropic drug unspecified
Anticholinesterase agents
Oth parasympathomimetics [cholinergics]
Ganglionic blocking drugs NEC
Oth parasympatholytic spasmolytic NEC
Predom alpha-adrenoreceptor agonists NEC
Predom beta-adrenoreceptor agonists NEC
Alpha-adrenoreceptor antagonists NEC
Beta-adrenoreceptor antagonists NEC
Cntrl act & adrngc-neuron-block agt NEC
Oth unsp drugs prim aff aut nrvs sys
Antiallergic and antiemetic drugs
Antineoplastic & immunosuppressive drugs
Vitamins not elsewhere classified
Enzymes not elsewhere classified
Iron and its compounds
Anticoagulants
Fibrinolysis-affecting drugs
Anticoaglt antagonists vit K oth coag
Oth primarily systc & haematological agt
Primarily systc haematological agt unsp
Cardiac-stimt glycoside & dr simlr actn
Calcium-channel blockers
Other antidysrhythmic drugs NEC
Coronary vasodilators NEC
Angiotensin-converting-enzyme inhibitors
Other antihypertensive drugs NEC
Antihyperlipidaemic antiartsclrc drugs
Peripheral vasodilators
Antivaricose drugs incl sclerosing agt
Oth unsp agents prim aff C-V sys
Histamine H2-receptor antagonists
Oth antacd anti-gastric-secretion drugs
Stimulant laxatives
Saline and osmotic laxatives
Other laxatives
Digestants
Antidiarrhoeal drugs
Emetics
Oth agents prim aff gastrointestinal sys
Agent prim aff gastrointestinal sys unsp
Oxytocic drugs
Skeletal muscle relaxants
Oth unsp agents prim acting on muscles
Antitussives
Expectorants
Anti-common-cold drugs
Antiasthmatics not elsewhere classified
Oth unsp agents prim acting on resp sys
Loc antifungal antinfect antinf dr NEC
Antipruritics
Local astringents and local detergents
Emollients demulcents and protectants
Keratolytic keratplas other hair Rx dr
Ophthalmological drugs and preparations
Otorhinolaryngological drugs prep
Dental drugs topically applied
T498
T499
T500
T501
T502
T503
T504
T505
T506
T507
T508
T509
X40
X41
X42
X43
X44
X45
X46
X470
X471
X472
X478
X479
X48
X49
X670
X671
X672
X678
X679
X68
X69
X8500
X8501
X8502
X8503
X8504
X8505
X8506
X8507
X8508
X8509
X8600
X8601
X8602
X8603
X8604
X8605
X8606
X8607
X8608
X8609
X8700
X8701
X8702
X8703
X8704
Other topical agents
Topical agent unspecified
Mineralocorticoids and their antagonists
Loop [high-ceiling] diuretics
Carb-anhydrase inhib benzothiad diuretic
Electrolytic caloric wtr-balance agents
Drugs affecting uric acid metabolism
Appetite depressants
Antidotes and chelating agents NEC
Analeptics & opioid receptor antagonists
Diagnostic agents
Oth unsp drugs medicaments biol subs
Poison nonopd anlgsc antipyr & antirhm
Acdt poisn antiep sed-hyp psytrp NEC
Acdt poisn narc psychodysleptic NEC
Acdt poisn oth autonomic nrv sys dr
Acdt poisn oth & unsp dr medts biol subs
Acdt poisoning by & exposure to alcohol
Acdt poisn orgnc solv halgn hydcarb
Acdt poisn motor vehicle exhaust
Acdt poisoning by & exposure to LPG
Acdt poisn oth spec utility gas
Acdt poisn oth spec gas & vapours
Acdt poisn & exposure unsp gas & vapours
Acdt poisn by & exposure to pesticides
Acdt poisn oth & unsp chem nox subs
Intent selfpoison motor vehicle exhaust
Intent selfpoison LPG
Intent selfpoison oth spec utility gas
Intent selfpoison oth spec gas / vapours
Intent selfpoison ?gas or vapours
Intentional selfpoison pesticides
Intent selfpoison oth unsp chem nox sub
Aslt by drugs medts biol subs sps / dp
Aslt by drugs medts biol subs parent
Aslt by drugs medts biol subs oth fm
Aslt by drugs medts biol subs carer
Aslt by drugs medts biol subs acq/frd
Aslt by drugs medts biol subs ofc auth
Aslt dr medts & biol subs pers ? Vctm
Aslt drugs medts biol subs ? mult pers
Aslt drugs medts biol subs oth spec pers
Asslt drug medts biol subs ?pers
Aslt corsv subs sps / dp
Asslt corsv subs parent
Asslt corsv subs oth fm
Asslt corsv subs carer
Aslt corsv subs acq / frd
Aslt corsv subs ofc auth
Aslt corsv subs pers ? t vctm
Aslt corsv subs ? mult pers
Asslt corsv subs oth spec pers
Asslt corsv subs ?pers
Aslt pesticides sps / dp
Asslt pesticides parent
Asslt pesticides oth fm
Asslt pesticides carer
Aslt pesticides acq / frd
X8705
X8706
X8707
X8708
X8709
X8800
X8801
X8802
X8803
X8804
X8805
X8806
X8807
X8808
X8809
X8900
X8901
X8902
X8903
X8904
X8905
X8906
X8907
X8908
X8909
X9000
X9001
X9002
X9003
X9004
X9005
X9006
X9007
X9008
X9009
Y10
Y11
Y12
Y13
Y14
Y15
Y16
Y170
Y171
Y172
Y178
Y179
Y18
Y19
Aslt pesticides ofc auth
Aslt pesticides pers ? t vctm
Aslt pesticides ? mult pers
Asslt pesticides oth spec pers
Asslt pesticides ?pers
Aslt gases & vapours sps / dp
Asslt gases & vapours parent
Asslt gases & vapours oth fm
Asslt gases & vapours carer
Aslt gases & vapours acq / frd
Aslt gases & vapours ofc auth
Aslt gases & vapours pers ? t vctm
Aslt gases & vapours ? mult pers
Asslt gases & vapours oth spec pers
Asslt gases & vapours ?pers
Aslt oth spec chem nox subs sps / dp
Asslt oth spec chem nox subs parent
Asslt oth spec chem nox subs oth fm
Asslt oth spec chem nox subs carer
Aslt oth spec chem nox subs acq / frd
Aslt oth spec chem nox subs ofc auth
Aslt oth spec chem pers ? t vctm
Aslt oth spec chem nox subs ? mult pers
Asslt oth spec chem oth spec pers
Asslt oth spec chem nox subs ?pers
Asslt ? chem nox subs sps / dp
Asslt ? chem nox subs parent
Asslt ? chem nox subs oth fm
Asslt ? chem nox subs carer
Aslt ? chem nox subs acq / frd
Aslt ? chem nox subs ofc auth
Aslt ? chem nox subs pers ? t vctm
Aslt ? chem nox subs ? mult pers
Asslt ? chem nox subs oth spec pers
Asslt ? chem nox subs ?pers
Poisoning anlgsc antipyr undet intent
Poisoning sed-hyp psytrp undet intent
Poisoning narc NEC undetermined intent
Poison oth aut nrv sys dr undet intent
Poisoning oth & unsp dr undet intent
Poisoning alcohol undetermined intent
Poisoning solvent undetermined intent
Poisn motor vehicle exhaust ?intent
Poisn LPG ?intent
Poisn oth spec gas ?intent
Poisn oth spec gas / vapours ? Intent
Poisn ?gas or vapours ?intent
Poisoning pesticides undetermined intent
Poisoning unsp chem undet intent
Postoperative Haemorrhage or Haematoma (PSI 9)
Numerator:
Episodes with an ICD-10-AM diagnosis code for postoperative haemorrhage or haematoma in any secondary
diagnosis field and codes for postoperative control of haemorrhage or drainage of haematoma in any
procedure field.
ICD-10-AM 5th edition Postoperative Haemorrhage or Haematoma diagnosis code:
T810
Haem & haematoma comp a procedure NEC
ICD-10-AM
3005800
3022300
3022401
3037514
3038500
3039400
3066300
3384200
3384500
3384800
3410002
3410003
3410310
3410311
3410312
3410313
3410314
3410315
3410316
3410317
3410318
3410319
3410610
3410611
3410612
3410613
3410614
3410615
3410616
3410617
3410618
3410619
3480000
3532100
3557201
3575900
3653700
3653701
3684200
3760400
3760401
3865601
3972100
4179700
5214100
5214101
5214102
5th edition Control of Postoperative Haemorrhage and Drainage of Haematoma procedure codes:
Control postoperative haemorrhage NEC
Incision & drainage of haematoma of SSCT
Perc drain intrabdo abs haematoma cyst
Incision and drainage of pancreas
Postoperative reopening laparotomy site
Drain intrabdo abscess haematoma cyst
Control haem foll male circumcision
Cntl bleeding after carot/vert art surg
Control bleeding after abdo vasc proc
Control bleed after extremity vasc proc
Interruption of carotid artery
Interruption of jugular vein
Interruption of subclavian artery
Interruption of axillary artery
Interruption of iliac artery
Interruption of femoral artery
Interruption of popliteal artery
Interruption of subclavian vein
Interruption of axillary vein
Interruption of iliac vein
Interruption of femoral vein
Interruption of popliteal vein
Interruption of brachial artery
Interruption of radial artery
Interruption of ulnar artery
Interruption of tibial artery
Interruption of other artery
Interruption of brachial vein
Interruption of radial vein
Interruption of ulnar vein
Interruption of tibial vein
Interruption of other vein
Interruption of vena cava
Transcatheter embolisation blood vessel
Vaginotomy
Control postop haem foll gyn surg NEC
Exploration of perinephric area
Exploration of kidney
Endosc lavage blood clots from bladder
Exploration scrotal contents, unilateral
Exploration scrotal contents, bilateral
Reopn of thoracotomy or sternotomy site
Postop reopn of crniotmy/crniectmy site
Arrest haemorrhage following T & A
Interruption of mandibular artery
Interruption of facial artery
Interruption of lingual artery
5214103
5214104
5214105
9000900
9003100
9004702
9011100
9034500
9039200
9048400
9048401
9048402
9072500
9739900
Interruption of facial vein
Interruption of lingual vein
Interruption of mandibular vein
Postop reopn laminotomy/laminectomy site
Inc & drain of spin canal or spin cd str
Re-opening of wound of thyroid
Other procedures on external ear
Control of haemorrhage of rectum or anus
Control postop haemorrhage of prostate
Evacuation perineal incisional haematoma
Evac noninc haematoma perineum/vagina
Evacuation abdo caesarian wnd haematoma
Aspiration of breast
Cntl postop haem fol dental proc
Denominator:
All surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating room
procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for postoperative haemorrhage or haematoma in the
principal diagnosis field.
•
Episodes where the only operating room procedure is postoperative control of haemorrhage or
drainage of haematoma.
•
MDC 14 (Pregnancy, Childbirth and Puerperium).
Postoperative Physiologic and Metabolic Derangement (PSI 10)
Numerator:
Episodes with an ICD-10-AM diagnosis code for physiologic and metabolic derangement in any secondary
diagnosis field.
Episodes with acute renal failure (subgroup of physiologic and metabolic derangement) must be
accompanied by a procedure code for dialysis.
ICD-10-AM
E1011
E1012
E1013
E1014
E1015
E1016
E1065
E1101
E1102
E1111
E1112
E1113
E1114
E1115
E1116
E1165
E1301
E1302
E1311
E1312
E1313
E1314
E1315
E1316
E1365
E1401
E1402
E1411
E1412
E1413
E1414
E1415
E1416
E1436
N170
N171
N172
N178
N179
N990
5th edition Physiologic and Metabolic Derangement diagnosis codes:
Type 1 DM w ketoacidosis wo coma
Type 1 DM w ketoacidosis w coma
Type 1 DM w lactic acidosis wo coma
Type 1 DM w lactic acidosis w coma
Type 1 DM w keto lactic acidosis wo coma
Type 1 DM w keto lactic acidosis w coma
Type 1 DM with poor control
Type 2 DM w hyperosmolarity wo NKHHC
Type 2 DM w hyperosmolarity with coma
Type 2 DM w ketoacidosis, wo coma
Type 2 DM w ketoacidosis, w coma
Type 2 DM w lactic acidosis, wo coma
Type 2 DM w lactic acidosis, w coma
Type 2 DM w keto lactic acidosis wo coma
Type 2 DM w keto lactic acidosis w coma
Type 2 diabetes mellitus w poor control
Oth spec DM w hyperosmolarity wo NKHHC
Other spec DM w hyperosmolarity, w coma
Other spec DM w ketoacidosis, wo coma
Other spec DM w ketoacidosis, w coma
Other spec DM w lactic acidosis, wo coma
Other spec DM w lactic acidosis, w coma
Oth DM w keto w lactic acidosis wo coma
Oth DM w keto w lactic acidosis w coma
Oth spec DM w poor control
Unsp DM w hyperosmolarity wo NKHHC
Unsp DM w hyperosmolarity, w coma
Unspecified DM w ketoacidosis, wo coma
Unspecified DM w ketoacidosis, w coma
Unspecified DM w lactic acidosis wo coma
Unspecified DM w lactic acidosis, w coma
Unsp DM w keto / lactic acidosis wo coma
Unsp DM w keto / lactic acidosis w coma
Unsp DM w diabetic cataract
Acute renal failure w tubular necrosis
Ac renal failure w ac cortical necrosis
Acute renal failure w medullary necrosis
Other acute renal failure
Acute renal failure unspecified
Postprocedural renal failure
ICD-10-AM
1310000
1310001
1310002
1310003
1310004
1310006
5th edition Dialysis procedure codes:
Haemodialysis
Intermittent haemofiltration
Continuous haemofiltration
Intermittent haemodiafiltration
Continuous haemodiafiltration
Peritoneal dialysis, short term
1310007
1310008
Intermittent peritonl dialysis long term
Continuous peritonl dialysis long term
Denominator:
All elective surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating
room procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for physiologic and metabolic derangement in the
principal diagnosis field.
•
Episodes with an ICD-10-AM diagnosis code for chronic renal failure in the principal diagnosis field.
•
Episodes with a diagnosis of ketoacidosis, hyperosmolarity, or other coma (subgroups of physiologic
and metabolic derangement) and a diagnosis of diabetes in the principal diagnosis field.
•
Episodes with a diagnosis of acute renal failure (subgroup of physiologic and metabolic
derangement) in a secondary diagnosis field and a diagnosis of haemorrhage, shock,
gastrointestinal haemorrhage, acute myocardial infarction, cardiac arrhythmia, or cardiac arrest in
the principal diagnosis field.
•
MDC 14 (Pregnancy, Childbirth and Puerperium)
See
See
See
See
See
Appendix
Appendix
Appendix
Appendix
Appendix
ICD-10-AM
E1011
E1012
E1013
E1014
E1015
E1016
E1021
E1022
E1023
E1029
E1031
E1032
E1033
E1034
E1035
E1036
E1039
E1040
E1041
E1042
E1043
E1049
E1051
E1052
E1053
E1061
E1062
E1063
E1064
E1065
G: Haemorrhage Diagnosis Codes
H: Shock Diagnosis Codes
I: Gastrointestinal (GI) Haemorrhage Diagnosis Codes
M: Acute Myocardial Infarction (AMI) Diagnosis Codes
N: Cardiac Arrhythmia Diagnosis Codes
5th edition Chronic Renal Failure, Diabetes and Cardiac Arrest diagnosis codes:
Type 1 DM w ketoacidosis wo coma
Type 1 DM w ketoacidosis w coma
Type 1 DM w lactic acidosis wo coma
Type 1 DM w lactic acidosis w coma
Type 1 DM w keto lactic acidosis wo coma
Type 1 DM w keto lactic acidosis w coma
Type 1 DM w incipient diab nephropathy
Type 1 DM w est diabetic nephropathy
Type 1 DM w advanced renal disease
Type 1 DM w oth spec renal complication
Type 1 DM w background retinopathy
Type 1 DM w preproliferative retinopathy
Type 1 DM w proliferative retinopathy
Type 1 DM w oth retinopathy
Type 1 DM w advanced ophthalmic dis
Type 1 DM w diabetic cataract
Type 1 DM w oth spec ophthalmic comp
Type 1 DM w unsp neuropathy
Type 1 DM w diabetic mononeuropathy
Type 1 DM w diabetic polyneuropathy
Type 1 DM w diab autonomic neuropathy
Type 1 DM w oth spec neurological comp
Type 1 DM w perph angiopathy wo gangr
Type 1 DM w perph angiopathy w gangr
Type 1 DM w diab ischmc cardiomyopathy
Type 1 DM w spec M/S con tis comp
Type 1 DM w spec skin & sbc tissue comp
Type 1 DM w spec periodontal comp
Type 1 diabetes mellitus w hypoglycaemia
Type 1 DM with poor control
E1069
E1071
E1073
E108
E109
E1101
E1102
E1111
E1112
E1113
E1114
E1115
E1116
E1121
E1122
E1123
E1129
E1131
E1132
E1133
E1134
E1135
E1136
E1139
E1140
E1141
E1142
E1143
E1149
E1151
E1152
E1153
E1161
E1162
E1163
E1164
E1165
E1169
E1171
E1172
E1173
E118
E119
E1301
E1302
E1311
E1312
E1313
E1314
E1315
E1316
E1321
E1322
E1323
E1329
E1331
E1332
E1333
Type 1 DM w oth spec complication
Type 1 DM w multiple microvascular comp
Type 1 DM w foot ulcer dt mult causes
Type 1 diabetes mellitus w unsp comp
Type 1 diabetes mellitus wo complication
Type 2 DM w hyperosmolarity wo NKHHC
Type 2 DM w hyperosmolarity with coma
Type 2 DM w ketoacidosis, wo coma
Type 2 DM w ketoacidosis, w coma
Type 2 DM w lactic acidosis, wo coma
Type 2 DM w lactic acidosis, w coma
Type 2 DM w keto lactic acidosis wo coma
Type 2 DM w keto lactic acidosis w coma
Type 2 DM w incipient diab nephropathy
Type 2 DM w est diab nephropathy
Type 2 DM w advanced renal disease
Type 2 DM w other spec renal comp
Type 2 DM w background retinopathy
Type 2 DM w preproliferative retinopathy
Type 2 DM w proliferative retinopathy
Type 2 DM w other retinopathy
Type 2 DM w advanced ophthalmic dis
Type 2 DM w diabetic cataract
Type 2 DM w other spec ophthalmic comp
Type 2 DM w unspecified neuropathy
Type 2 DM w diabetic mononeuropathy
Type 2 DM w diabetic polyneuropathy
Type 2 DM w diab autonomic neuropathy
Type 2 DM w oth spec neurological comp
Type 2 DM w perph angiopathy wo gangr
Type 2 DM w perph angiopathy w gangr
Type 2 DM w diab ischmc cardiomyopathy
Type 2 DM w spec diab M/S con tis comp
Type 2 DM w spec skin & sbc tis comp
Type 2 DM w spec periodontal comp
Type 2 diabetes mellitus w hypoglycaemia
Type 2 diabetes mellitus w poor control
Type 2 DM w other specified complication
Type 2 DM w multiple microvascular comp
Type 2 DM w features insulin resistance
Type 2 DM w foot ulcer dt mult causes
Type 2 DM w unspecified complication
Type 2 diabetes mellitus wo complication
Oth spec DM w hyperosmolarity wo NKHHC
Other spec DM w hyperosmolarity, w coma
Other spec DM w ketoacidosis, wo coma
Other spec DM w ketoacidosis, w coma
Other spec DM w lactic acidosis, wo coma
Other spec DM w lactic acidosis, w coma
Oth DM w keto w lactic acidosis wo coma
Oth DM w keto w lactic acidosis w coma
Oth spec DM w incipient diab nephropathy
Other spec DM w est diabetic nephropathy
Other spec DM w advanced renal disease
Other spec DM w other spec renal comp
Other spec DM w background retinopathy
Oth spec DM w preprolf retinopathy
Other spec DM w prolf retinopathy
E1334
E1335
E1336
E1339
E1340
E1341
E1342
E1343
E1349
E1351
E1352
E1353
E1361
E1362
E1363
E1364
E1365
E1369
E1371
E1372
E1373
E138
E139
E1401
E1402
E1411
E1412
E1413
E1414
E1415
E1416
E1421
E1422
E1423
E1429
E1431
E1432
E1433
E1434
E1435
E1436
E1439
E1440
E1441
E1442
E1443
E1449
E1451
E1452
E1453
E1461
E1462
E1463
E1464
E1465
E1469
E1471
E1472
Other spec DM w other retinopathy
Other spec DM w advanced ophthalmic dis
Other specified DM w diabetic cataract
Oth spec DM w oth spec ophthalmic comp
Other spec DM w unspecified neuropathy
Other spec DM w diabetic mononeuropathy
Other spec DM w diabetic polyneuropathy
Oth spec DM w diab autonomic neuropathy
Oth spec DM w oth spec neurological comp
Oth spec DM w perph angiopathy wo gangr
Other spec DM w perph angiopathy w gangr
Oth spec DM w diab ischmc cardiomyopathy
Other spec DM w spec M/S con tis comp
Oth spec DM w spec skin & sbc tis comp
Other spec DM w spec periodontal comp
Other spec DM w hypoglycaemia
Oth spec DM w poor control
Other spec DM w other spec complication
Other spec DM w mult microvascular comp
Oth spec DM w feature insulin resistance
Oth spec DM w foot ulcer dt mult causes
Other specified DM w unsp complication
Other specified DM wo complication
Unsp DM w hyperosmolarity wo NKHHC
Unsp DM w hyperosmolarity, w coma
Unspecified DM w ketoacidosis, wo coma
Unspecified DM w ketoacidosis, w coma
Unspecified DM w lactic acidosis wo coma
Unspecified DM w lactic acidosis, w coma
Unsp DM w keto / lactic acidosis wo coma
Unsp DM w keto / lactic acidosis w coma
Unsp DM w incipient diab nephropathy
Unsp DM w est diabetic nephropathy
Unsp DM w advanced renal disease
Unsp DM w other spec renal comp
Unsp DM w background retinopathy
Unsp DM w preproliferative retinopathy
Unsp DM w proliferative retinopathy
Unsp DM w other retinopathy
Unsp DM w advanced ophthalmic dis
Unsp DM w diabetic cataract
Unsp DM w other spec ophthalmic comp
Unsp DM w unspecified neuropathy
Unsp DM w diabetic mononeuropathy
Unsp DM w diabetic polyneuropathy
Unsp DM w diab autonomic neuropathy
Unsp DM w oth spec neurological comp
Unsp DM w perph angiopathy wo gangr
Unsp DM w perph angiopathy w gangr
Unsp DM w diab ischmc cardiomyopathy
Unsp DM w spec M/S con tis comp
Unsp DM w spec skin & sbc tis comp
Unsp DM w spec periodontal comp
Unsp DM w hypoglycaemia
Unsp DM w poor control
Unsp DM w other specified complication
Unsp DM w mult microvascular comp
Unsp DM w features insulin resistance
E1473
E148
E149
I120
I131
I132
I460
I461
I469
N180
N188
N1890
Unsp DM w foot ulcer dt mult causes
Unsp DM w unspecified complication
Unsp DM without complication
Hypertensive renal dis w renal failure
H/T heart & renal dis w renal failure
H/T heart & renal dis w heart renal fail
Cardiac arrest w success resuscitation
Sudden cardiac death so described
Cardiac arrest unspecified
End-stage renal disease
Other chronic renal failure
Unspecified chronic renal failure
Postoperative Respiratory Failure (PSI 11)
Numerator:
Episodes with an ICD-10-AM diagnosis code for acute respiratory failure in any secondary diagnosis field
and an ICD-10-AM procedure code for reintubation.
ICD-10-AM 5th edition Acute Respiratory Failure diagnosis codes:
J960
Acute respiratory failure
J969
Respiratory failure unspecified
ICD-10-AM
1388200
1388201
1388202
2200700
2200800
9017902
5th edition Reintubation procedure codes:
Mgmt contin ventilatory sup <= 24 hours
Mgmt contin ventilatry sup > 24 < 96 hr
Mgmt contin ventilatory sup >= 96 hours
Endotracheal intubation, single lumen
Endotracheal intubation, double lumen
Nasopharyngeal intubation
Denominator:
All elective surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating
room procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for acute respiratory failure in the principal diagnosis
field.
•
Episodes with an ICD-10-AM diagnosis code for neuromuscular failure.
•
Episodes where the only operating room procedure is for tracheostomy.
•
MDC 4 (Diseases and Disorders of the Respiratory System).
•
MDC 5 (Diseases and Disorders of the Circulatory System).
•
MDC 14 (Pregnancy, Childbirth and Puerperium).
ICD-10-AM
G610
G700
G701
G702
G708
G709
G710
G711
G712
G713
G718
G719
G720
G721
G722
G723
G724
G728
G729
G730
G731
G732
G733
5th edition Neuromuscular Failure diagnosis codes:
Guillain-Barré syndrome
Myasthenia gravis
Toxic myoneural disorders
Congenital and developmental myasthenia
Other specified myoneural disorders
Myoneural disorder unspecified
Muscular dystrophy
Myotonic disorders
Congenital myopathies
Mitochondial myopathy NEC
Other primary disorders of muscles
Primary disorder of muscle unspecified
Drug-induced myopathy
Alcoholic myopathy
Myopathy due to other toxic agents
Periodic paralysis
Inflammatory myopathy NEC
Other specified myopathies
Myopathy unspecified
Myasthenic synd in endocrine diseases
Eaton-Lambert syndrome
Oth myasthen synd in neoplastic dis
Myasthenic syndromes in oth disease cl/e
G734
G735
G736
G737
Myopathy
Myopathy
Myopathy
Myopathy
in
in
in
in
infect & parasitic dis cl/e
endocrine diseases
metabolic diseases
oth diseases class elsewhere
ICD-10-AM 5th edition Tracheostomy procedure codes:
4188301
Open tracheostomy, permanent
4188302
Revision of tracheostomy
Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
Numerator:
Episodes with an ICD-10-AM diagnosis code for pulmonary embolism or deep vein thrombosis in any
secondary diagnosis field.
See Appendix K: Deep Vein Thrombosis/Pulmonary Embolism (DVT/PE) Diagnosis Codes
Denominator:
All surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating room
procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for pulmonary embolism or deep vein thrombosis in the
principal diagnosis field.
•
Episodes where the only operating room procedure is for interruption of vena cava.
•
MDC 14 (Pregnancy, Childbirth and Puerperium).
ICD-10-AM
3480000
3533000
3533001
5th edition Interuption of Vena Cava procedure codes:
Interruption of vena cava
Perc insertion inferior vena cava filter
Open insertion inferior vena cava filter
Postoperative Sepsis (PSI 13)
Numerator:
Episodes with an ICD-10-AM diagnosis code for sepsis in any secondary diagnosis field.
See Appendix O: Sepsis Diagnosis Codes
Denominator:
All elective surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an operating
room procedure or anaesthetic.
See Appendix A: Operating Room Procedure Codes
See Appendix R: Anaesthesia Procedure Codes
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for sepsis in the principal diagnosis field.
•
Episodes with an ICD-10-AM diagnosis code of infection in the principal diagnoss field.
•
Episodes with any code for immunocompromised state or cancer.
•
MDC 14 (Pregnancy, Childbirth and Puerperium).
•
Episodes with a length of stay less than 2 days.
See
See
See
See
Appendix
Appendix
Appendix
Appendix
D: Codes for Immunocompromised States
E: Cancer Diagnosis Codes
P: Infection Diagnosis Codes and DRGs
Q: Cancer DRGs
Postoperative Wound Dehiscence (PSI 14)
Numerator:
Episodes with an ICD-10-AM procedure code for reclosure of postoperative disruption of abdominal wall in
any procedure field.
ICD-10-AM 5th edition Reclosure of Postoperative Disruption of Abdominal Wall diagnosis code:
3040303
Reclosure postop disruption abdo wall
Denominator:
All abdominopelvic surgical episodes, 18 years and older, defined by an ICD-10-AM procedure code for an
abdominopelvic procedure.
ICD-10-AM
3017800
3040304
3040305
9032900
9032901
9032902
9032903
9033000
3043401
3043402
3043601
3043602
4386400
4386401
4386700
4386701
4391201
3653700
3652201
3652501
3651601
3651603
3651605
3651901
3651903
3652801
3652900
3653101
3653300
3656401
3657001
3650300
3650301
9035000
1310900
1310901
9035400
3661501
3657301
3658501
3658503
3659701
3659401
5th edition Abdominopelvic procedure codes:
Cls sec defect abdo w umbilicus recon
Delayed closure granulating abdo wound
Rep abdo wall foll procure myocutns flap
Other repair of abdomen
Other repair of peritoneum
Other repair of omentum
Other repair of mesentery
Revision CSF shunt at peritoneal site
Evacuation hydatid cyst of peritoneum
Evacuation hydatid cyst of abdo organ
Evac hydatid cyst peritnm oment/myeloply
Evac hydatid cyst abdo oment/myeloplasty
Prim repair gastroschisis involving skin
Prim rep gastroschisis inv sk musc fasc
Creation prosth pouch for gastroschisis
Sec stg proc gastschisis w R/O prosth
Repair of intestinal duplication
Exploration of perinephric area
Partial nephrectomy
Prt nephrectomy prev surg same kidney
Complete nephrectomy, unilateral
Complete nephrectomy, bilateral
Nephrectomy transplantation living donor
Nephrectomy for R/O transplanted kidney
Nephrectomy prev surg same kidney
Radical nephrectomy
Rad nephrectomy complic prev surg kidny
Nephroureterectomy
Nephuretectomy complic prev surg kidny
Pyeloplasty
Pyeloplasty prev surg ren pelvis, kidney
Renal transplantation
Autotransplantation of kidney
Other repair of kidney
Ins & fix indwel peritonl cath long term
Replace indwel peritonl cath f dialysis
Other procedures on kidney
Ureterolysis
Repair of divided ureter
Transplantation ureter into skin, uni
Transplantation of ureter into skin bil
Transplantation ureter into other ureter
Transplantation ureter into intest uni
3659403
3658801
3658803
3659101
3659103
3659104
3659105
3661801
3662100
9035700
3660900
3660901
3660903
9035800
3700001
3701400
3702301
3704701
3660002
3660600
3660603
9039100
3007521
3721200
3720003
3720004
3720900
3721000
3721100
9039300
9040700
9039500
9039501
3781200
3571302
3571303
3571305
3571306
3571307
3571701
3572901
9043001
9043100
3569406
3571312
9043200
3571308
3571309
3571702
3571703
3571311
3571704
3571705
3569404
3569700
3569405
3569407
9043301
Transplantation ureter into intest, bil
Reimplantation ureter into bladder uni
Reimplantation ureter into bladder, bil
Re-impl ureter into bladder w flap, uni
Re-impl ureter into bladder w flap, bil
Re-impl ureter in blader psoas htch uni
Re-impl ureter in bladder psoas htch bil
Reduction ureteroplasty
Closure of cutaneous ureterostomy
Other repair of ureter
Revision of intestinal urinary conduit
Revision of intestinal urinary reservoir
Revision of ureterostomy
Other procedures on ureter
Partial excision of bladder
Total excision of bladder
Closure of cutaneous vesical fistula
Enlargement of bladder
Formation incontinent intest urin resv
Formation continent intest urin resv
Frm contint urin resv w atchmt ureth
Incision of seminal vesicle
Biopsy of seminal vesicle
Biopsy of prostate
Suprapubic prostatectomy
Retropubic prostatectomy
Radical prostatectomy
Rad prostatectomy w bladder neck recon
Rad prostectomy w recon, lymphadenectomy
Excision of seminal vesicle
Excision of other lesion of prostate
Other procedures on prostate
Other procedures on seminal vesicle
Exploration groin for impalpable testis
Rupture of ovarian cyst or abscess
Ovarian drilling
Wedge resection of ovary
Partial oophorectomy
Oophorectomy, unilateral
Oophorectomy, bilateral
Transposition of ovary
Other repair of ovary
Other procedures on ovary
Salpingolysis
Salpingotomy
Biopsy of fallopian tube
Partial salpingectomy, unilateral
Salpingectomy, unilateral
Partial salpingectomy, bilateral
Salpingectomy, bilateral
Salpingo-oophorectomy, unilateral
Salpingo-oophorectomy, bilateral
Unil oophorectomy w bil salpingectomy
Salpingoplasty
Microsurgical salpingoplasty
Anastomosis of fallopian tube
Salpingostomy
Other repair of fallopian tube
3567700
3567704
3567705
3568802
9043400
3564900
3562000
3565300
3565301
3565302
3565303
3566100
3566400
3566700
3567000
3575600
3575601
3575602
9044300
3568401
9043501
3568001
9043600
3558400
3559602
3571314
3203600
9018000
3410302
3414200
3410312
3313300
3316900
3350900
3351200
3351500
3351501
3351800
3352100
3352400
3352700
3353000
3353001
3353300
3353600
3380604
3380605
3380606
3380607
3380608
3380302
3383600
3383601
3383602
3383603
9021002
3383900
3383901
R/O peritoneal ectopic pregnancy
Salpingotomy w removal tubal pregnancy
Salpingectomy w removal tubal pregnancy
Sterilisation open abdominal approach
Other procedures on fallopian tube
Hysterotomy
Biopsy of endometrium
Subtotal abdominal hysterectomy
Total abdominal hysterectomy
Abdo hysterectomy w uni salpgophcty
Abdo hysterectomy bil salpgophcty
Abdo hystrectmy extsv retrpertnl dissect
Rad abdo hystrectmy rad exc pelv lymph n
Radical abdominal hysterectomy
Abdo hystrectmy rad exc pelv lymph nodes
Lap asst vag proceed abdo hysterectomy
Vag to abdo hystrectmy uni salpgophcty
Vag to abdo hystrectmy w bil salpgophcty
Other excision of uterus
Uterine suspension
Other repair of uterus
Reconstruction uterus & supporting str
Other procedures on uterus
Repair of pelvic floor prolapse
Repair ureterovaginal fist
Excision of lesion of pelvic cavity
Excision of presacral lesion
Insertion of pleuroperitoneal shunt
Exploration of iliac artery
Decompression of coeliac artery
Interruption of iliac artery
Interruption of visceral artery aneurysm
Interruption ruptured visc art aneurysm
Aorta endarterectomy
Aorto-iliac endarterectomy
Aorto-femoral endarterectomy
Iliofemoral endarterectomy, bilateral
Iliac endarterectomy
Iliofemoral endarterectomy, unilateral
Renal endarterectomy, unilateral
Renal endarterectomy, bilateral
Coeliac endarterectomy
Superior mesenteric endarterectomy
Coeliac & supr mesenteric endarterectomy
Inferior mesenteric endarterectomy
Embolectomy/thrombectomy, coeliac artery
Embolectomy/thrombectomy mesenteric art
Embolectomy/thrombectomy, renal artery
Embolectomy/thrombectomy, splenic artery
Embolectomy/thrombectomy of iliac artery
Emblectmy/thrmbectmy byps graft art trnk
Repair coeliac artery, dir anstms
Repair renal artery direct anstms
Repair iliac artery direct anstms
Repair mesenteric art, dir anstms
Repair aorta by direct anastomosis
Repair coeliac art, interpstn gft
Repair renal artery, interpstn gft
3383902
3383903
9021302
3271200
3272100
3272400
3273000
3273300
3276304
3276305
3276306
3276307
3270800
3270801
3270802
3270803
3271500
3271501
3271502
3272101
3272401
3273001
3273301
3276315
3276316
3276317
3276318
3271800
3313000
3316600
3311200
3311500
3311800
3312100
3312400
3312700
3313001
3315100
3315400
3315700
3316000
3316300
3316601
3410307
3410317
3381101
3383604
3383605
3383606
3383607
3383608
3383609
3383904
3383905
3383906
3383907
3383908
3383909
Repair mesenteric art, interpstn gft
Repair iliac artery, interpstn gft
Repair aorta, interposition graft
Iliofemoral bypass using vein
Renal bypass using vein, unilateral
Renal bypass using vein, bilateral
Mesenteric bypass usg vein single vessel
Mesenteric bypass usg vein mult vessels
Spleno-renal bypass using vein
Aorto-coeliac bypass using vein
Aorto-femoro-popliteal bypass using vein
Ilio-iliac bypass using vein
Aorto-femoral bypass usg synthc material
Aorto-femoro-femoral bypass synthc matrl
Aorto-iliac bypass using synthetic matrl
Aorto-ilio-femoral byps usg synthc matrl
Subclavian-femoral byps usg synthc matrl
Subclavian-bifemoral bypass synthc matrl
Axillo-femoral bypass usg synthc matrl
Renal bypass using synthetic matrl, uni
Renal bypass using synthetic matrl, bil
Mesenteric byps synthc matrl, sgl vesl
Mesenteric byps synthc matrl, mult vesl
Spleno-renal bypass usg synthc material
Aorto-coeliac bypass usg synthetic matrl
Aorto-femoro-popliteal byps synthc matrl
Ilio-iliac bypass using synthetic matrl
Iliofemoral crossover bypass
Exc & rep visc art aneurysm, dir anstms
Exc & rep rupt visc art anrysm, anstms
Replace suprarenal AAA with graft
Replace infrarenal AAA with tube graft
Replace infrarnl AAA bifur gft iliac art
Replace infrarnl AAA bifur gft femor art
Replace iliac art aneurysm w graft, uni
Replace iliac art aneurysm w graft, bil
Replace visceral artery aneurysm w graft
Replace ruptured suprarenal AAA w graft
Replace rupt infrarenal AAA w tube gft
Replace rupt infrarnl AAA w iliac graft
Replace rupt infrarnl AAA w femor graft
Replace rupt iliac art aneurysm w graft
Replace rupt visc art aneurysm w graft
Exploration of iliac vein
Interruption of iliac vein
Open thrombectomy of iliac vein
Repair renal vein by dir anstms
Repair portal vein by dir anstms
Repair splenic vein by dir anstms
Repair mesenteric vein, dir anstms
Repair iliac vein by dir anstms
Repair other abdo vein dir anstms
Repair renal vein by interpstn gft
Repair portal vein, interpstn gft
Repair splenic vein, interpstn gft
Rep mesenteric vein, interpstn gft
Repair iliac vein by interpstn gft
Repair oth abdo vein interpstn gft
3760700
3761000
3037520
3007509
3059600
3059700
3059601
3037521
3053202
3054500
3054501
3055000
3055001
3054100
3054101
3053500
3053600
3053601
3037506
3037515
3049600
3049900
3037522
4393000
3051800
3051801
3051802
3050300
3050301
3050302
3049700
3049701
3049702
3050303
3050304
3050305
3052100
3052300
3052400
3007512
3050900
3052000
3051500
3037513
3049601
3049602
3050000
3050200
3052702
3052703
3052900
3053000
3146600
3037510
3037512
9030300
9030400
9033900
Radical excision retrpertnl lymph nodes
Radical exc retrpertnl lymph node subsqt
Splenotomy
Biopsy of spleen
Partial splenectomy
Splenectomy
Splenorrhaphy
Other procedures on spleen
Oesophagogastric myotomy, abdominal appr
Oesophagectomy w colon interposition
Oesophagectomy w Roux-en-Y thor anstms
Oesphecty w cerv anstms, colon interpstn
Oesophagectomy w Roux-en-Y cerv anstms
Trnshtl oesphecty w oesphgast anstms
Trnshtl oesphecty w oesophgojejnl anstms
Oesphecty w thor oesphgast anstms
Oesphecty w cerv oesphgast anstms
Oesophagectomy w cerv oesophagostomy
Gastrotomy
Gastrotomy with removal of foreign body
Selective vagotomy
Highly selective vagotomy
Transabdominal gastroscopy
Pyloromyotomy
Prt dstl gastrectomy gastoduod anstms
Prt distal gastrectomy gastjejnl anstms
Prt prx gastrectomy, oesphgast anstms
Prt gastrectomy gastoduod foll PU proc
Prt gastrectomy gastjejnl foll PU proc
Prt gastrectomy Roux-en-Y foll PU proc
Vagotomy prt gastrecty gastoduod anstms
Vagotomy prt gastrecty gastjejnl anstms
Vagotomy prt gastrecty Roux-en-Y recon
Vagotmy gastrecty gastoduod foll PU proc
Vagotmy gastrecty gastjejnl foll PU proc
Vagotomy, gastrecty RouxY foll PU proc
Total gastrectomy
Subtotal gastrectomy
Radical gastrectomy
Biopsy of stomach
Gastric resection for bleed peptic ulcer
Local excision of lesion of stomach
Gastro-enterostomy
Pyloroplasty
Selective vagotomy with pyloroplasty
Selective vagotomy w gastro-enterostomy
Highly sel vagotomy w duodenoplasty
Highly sel vagotomy w dilation pylorus
Fundoplasty, abdominal approach
Abdo fundoplasty w closure diaph hiatus
Abdominal fundoplasty w oesophagoplasty
Fundoplasty with cardiopexy
Revision fundoplasty
Suture of perforated ulcer
Reduction of gastric volvulus
Repair of gastric duplication
Other repair of stomach
Closure of gastrostomy
9034202
3051700
3051701
3051100
3051200
3051202
3051400
9030500
3058101
3037503
3056500
3056600
3007513
3037509
3058000
3037501
3037529
3051501
3051502
3206900
4380700
3037508
3037518
3056200
3056201
3056204
4381000
4381001
3037519
3038200
9034000
3056300
3206901
9030700
3218600
3037502
3037523
3200000
3200001
3200300
3200301
3200400
3200401
3200500
3200501
3200600
3200601
3200900
3201200
3202900
9095900
3037500
3037504
3037528
3037511
3037517
4380100
3038202
Suture of laceration of stomach
Reconstruction of pyloroplasty
Reconstruction of gastroenterostomy
Gastric reduction
Gastric bypass
Biliopancreatic diversion
Surg reversal proc for morbid obesity
Other procedures on stomach
Exploration of duodenum
Enterotomy of small intestine
Resec small intestine w formation stoma
Resec small intestine w anastomosis
Biopsy of small intestine
Excision of Meckel's diverticulum
Excision of lesion of duodenum
Other enterostomy
Temporary ileostomy
Enterocolostomy
Enteroenterostomy
Formation of ileostomy reservoir
Duodenoduodenostomy
Reduction intussusception sm intestine
Reduction of volvulus of small intestine
Closure of loop ileostomy
Cls ileostomy w restor conty wo resect
Closure other stoma of small intestine
Rep sm intestine w sgl anstms
Rep sm intestine w mult anstms
Other repair of small intestine
Rad rep enterocutaneous fist sm intest
Closure of fistula of small intestine
Revision of stoma of small intestine
Revision of ileostomy reservoir
Other procedures on small intestine
Intraoperative colonic lavage
Colotomy
Endosc exam large intestine v laparotomy
Limited exc lrg intestine w stoma frm
Right hemicolectomy w stoma formation
Limited excision lrg intestine w anstms
Right hemicolectomy with anastomosis
Subtotal colectomy w stoma formation
Extended right hemicolectomy w frm stma
Subtotal colectomy w anstms
Extended right hemicolectomy w anstms
Left hemicolectomy with anastomosis
Left hemicolectomy w stoma formation
Total colectomy with ileostomy
Total colectomy w ileorectal anastomosis
Construction of colonic reservoir
Excision other lesion of large intestine
Caecostomy
Other colostomy
Temporary colostomy
Reduction intussusception, lrg intestine
Reduction of volvulus of large intestine
Correction of malrotation of intestine
Rad rep enterocutaneous fist lrg intest
3056202
3056203
3056205
3203300
4381602
9034001
9095100
3056301
3202901
4387000
4387300
4387301
4387302
9031000
3057100
3037530
9031100
3203900
3206000
4399301
3202400
3201500
3205100
3205101
3211700
3043100
3043300
3041100
3041200
3041400
3041500
3041800
3042100
9034600
3042200
3042500
9031700
9031800
3043400
3043600
3043800
9031900
9033700
3045101
3037526
3045400
3045700
3045801
3045803
3007515
3044300
3045401
3045500
3046100
3046300
3046400
4397200
4397500
Closure of loop colostomy
Cls colostomy w restor continuity
Closure other stoma of large intestine
Restor continuity after Hartmann's proc
Other repair of large intestine
Closure of fistula of large intestine
Fixation of large intestine
Revision of stoma of large intestine
Revision of colonic reservoir
Repair of exomphalos, minor
Repair of exomphalos, major
Creation prosthetic pouch for exomphalos
Delay cls exomphalos foll creat pouch
Other procedures on large intestine
Appendicectomy
Appendicostomy
Other procedures on appendix
Abdominoperineal proctectomy
Restorative proctectomy
Definitive intest resec and p-t anstms
High restor resec rectum w anstms
Total proctocolectomy with ileostomy
Total proctocolectomy w ileo-anal anstms
Tot proctcolecty ileoanal anstms & stoma
Abdominal rectopexy
Abdominal drainage of liver abscess
Abdominal drainage mult liver abscesses
Intraoperative biopsy of liver
Intraoperative needle biopsy of liver
Excision of lesion of liver
Segmental resection of liver
Lobectomy of liver
Trisegmental resection of liver
Total hepatectomy
Rep traumatic spfl laceration of liver
Rep traum deep, mult lacerations liver
Transplantation of liver
Other repair of liver
Evacuation of hydatid cyst of liver
Evac hydatid cyst liver w oment/myeloply
Exc hydatid cyst liver, drain & excision
Other procedures on liver
Other stenting of biliary tract
Other removal of biliary stent
Cholecystotomy
Choledochotomy
Intrahep choledochotomy w R/O calculus
Incision of sphincter of Oddi
R/O bile duct calculus, sphincter Oddi
Biopsy of gallbladder or bile duct
Cholecystectomy
Cholecystectomy with choledochotomy
Cholecystectomy, choledochotomy & anstms
Radical resection of porta hepatis
Radical resection of hepatic ducts
Rad resec hepatic ducts w resec liver
Resec choledochal cyst w CBD anstms
Resec choledochl cyst heptc duct anstms
3045802
3037505
3046000
3046001
3046002
3046003
3046004
3046005
3046006
3046007
4397800
3046008
3046600
3046700
3045804
3045805
3046900
3047200
3047201
9032100
3060200
3060300
3060500
3060601
9032200
9032300
3037514
3037527
3057500
3058100
3007516
3058300
3058400
3059300
3059301
3057700
3057800
3058600
3058601
3058700
3058900
9032400
9032500
9032600
3040800
3037300
3038400
3572601
3037800
3039400
3040200
9095200
3007517
3007537
3032100
3032300
3039200
4394200
Local excision lesion sphincter of Oddi
Cholecystostomy
Cholecystoduodenostomy
Cholecystoenterostomy
Cholecystopancreatostomy
Choledochoduodenostomy
Choledochojejunostomy
Choledochoenterostomy
Choledochopancreatostomy
Hepaticoenterostomy
Portoenterostomy
Roux-en-Y intestino-biliary bypass
Byps L heptc sys Roux-en-Y to perph sys
Byps R heptc sys Roux-en-Y to perph sys
Repair of sphincter of Oddi
Repair of pancreatic duct sphincter
Repair of biliary stricture
Repair of hepatic duct
Repair of common bile duct
Other repair of biliary tract
Insertion of portocaval shunt
Insertion of mesocaval shunt
Insertion of splenorenal shunt
Oversewing of gastric varices
Other procedures on gallbladder
Other procedures on biliary tract
Incision and drainage of pancreas
Marsupialisation of pancreatic cyst
Incision & drainage pancreatic abscess
Exploration of pancreas
Biopsy of pancreas
Distal pancreatectomy
Pancreaticoduodenectomy w stoma frm
Pancreatectomy
Pancreatectomy with splenectomy
Major pancreatic/retropancreatic dissect
Excision of lesion of pancreas
Anastomosis of pancreas to duodenum
Anastomosis of pancreas to stomach
Anstms pancreas t Roux-en-Y loop jejunum
Pancreaticojejunostomy
Transplantation of pancreas
Other repair of pancreas
Other procedures on pancreas
Insertion of peritoneovenous shunt
Exploratory laparotomy
Staging laparotomy for lymphoma
Staging laparotomy
Division of abdominal adhesions
Drain intrabdo abscess haematoma cyst
Drainage of retroperitoneal abscess
Incision of abdominal wall
Biopsy of abdominal wall or umbilicus
Biopsy of peritoneum
Exc retroperitoneal neuro-endocrine lsn
Exc retrpertnl neurendocrn lsn w dissect
Debulking of intra-abdominal lesion
Excision epithelial remnant at umbilicus
4394500
4398701
9032700
9032800
9032801
9045000
9045001
9045002
3061402
3061403
3061400
3061401
3061700
3061701
3061702
3040300
3040500
3040501
3040502
3056302
3056303
3040301
3040503
3040504
3040505
3061500
3060000
3060100
4383702
9033100
9033501
3653701
3658801
3658802
3661201
3654900
3744401
3007533
3657901
3657903
3661503
3700803
3700806
3686300
3007510
3700805
3702001
9036000
3700403
3703801
3702901
3705000
3784202
3784203
3705301
3704500
3700402
3704400
Excision patent vitello intestinal duct
Excision intra-abdominal neuroblastoma
Excision cong intra-abdominal lesion
Excision of lesion of peritoneal tissue
Exc lesion peritonl tis w intest resect
Anterior pelvic exenteration
Posterior pelvic exenteration
Total pelvic exenteration
Repair of inguinal hernia, unilateral
Repair of inguinal hernia, bilateral
Repair of femoral hernia, unilateral
Repair of femoral hernia, bilateral
Repair of umbilical hernia
Repair of epigastric hernia
Repair of linea alba hernia
Repair of incisional hernia
Rep incisional hernia w muscle trnspostn
Repair incisional hernia with prosthesis
Rep incisnl hernia resec strangd intest
Repair of parastomal hernia
Repair parastomal hernia resiting stoma
Repair of other abdominal wall hernia
Rep oth abdo wall hernia musc trnspostn
Repair other abdo wall hernia w prosth
Rep oth abdo hrn w resec strangd intest
Rep incarcerated obstr or strangd hernia
Repair traumatic diaphragmatic hernia
Repair diaphragmatic hernia, abdo appr
Rep diaph hernia w flap/ins patch
Oth proc abdomen, peritoneum or omentum
Other procedures on digestive system
Exploration of kidney
Reimplantation ureter into bladder uni
Lap re-impl ureter into bladder, bil
Exploration of ureter
Ureterolithotomy
Ureterolithotomy, prev surg same ureter
Open biopsy of ureter
Partial ureterectomy
Complete ureterectomy
Ureterolysis w repositioning of ureter
Cystolithotomy
Division intraluminal bladder adhesions
Litholapaxy of bladder
Biopsy of bladder
Removal of foreign body of bladder
Excision of bladder diverticulum
Other excision of lesion of bladder
Repair of ruptured bladder
Closure of vesicointestinal fistula
Abdominal closure vesicovaginal fistula
Closure of bladder exstrophy
Secondary repair exstrophy of bladder
Sec rep exstrophy bladder, uretc re-impl
Bladder transect & re-anstms to trigone
Formation of continent valve
Other repair of bladder
Retropubic proc male stress incontinence
3704403
3559900
3559901
3734000
3704401
3704402
9036301
9036900
3007532
9036600
3720005
3563706
3571304
3571700
3563300
3564902
3564903
9045200
3559001
3571301
3571314
3572000
3575900
4387900
3053201
3053300
3053301
3050500
3056400
3037524
3007514
3037525
3218300
3203000
4396600
4396901
4388200
3045800
9034203
9032000
9032100
3038500
3039600
9618900
Rev retropubic proc, male stress incont
Sling procedure for stress incontinence
Revision sling proc, stress incontinence
Div ureth slg foll stres incont proc
Retropubic proc for female stress incont
Rev retropubic proc female stress incont
Other procedures on bladder
Exploration of perivesical tissue
Biopsy perirenal or perivesical tissue
Other procedures on urinary system
Other open prostatectomy
Biopsy of ovary
Ovarian cystectomy, unilateral
Ovarian cystectomy, bilateral
Division of intrauterine adhesions
Division uterine septum via hysterotomy
Myomectomy of uterus
Excision of other lesion of uterus
Repair enterocele, abdominal approach
Diathermy of lesion of pelvic cavity
Excision of lesion of pelvic cavity
Debulking of lesion of pelvic cavity
Control postop haem foll gyn surg NEC
Exc sacrcocygl teratoma post & abdo appr
Abdo oesphgast myotomy cls diaph hiatus
Abdo oesphgast myotomy w fundoplasty
Abdo oesphgast myotmy fundoply cls hiat
Control of bleeding peptic ulcer
Strictureplasty of small intestine
Suture of small intestine
Biopsy of large intestine
Suture of laceration of large intestine
Intestinal sling proc prior radiotherapy
Rectosigmoidectomy w stoma formation
Anorectoplasty via laparotomy
Tot rep persist cloaca via laparotomy
Prim rep cloacal exstrophy [abdo dfct]
Biopsy of sphincter of Oddi
Repair of laceration of gall bladder
Other repair of gallbladder
Other repair of biliary tract
Postoperative reopening laparotomy site
Debridement & lavage peritoneal cavity
Omentectomy
Exclude:
•
Episodes with any code for immunocompromised state.
•
MDC 14 (Pregnancy, Childbirth and Puerperium).
•
Episodes with a length of stay less than 2 days.
See Appendix D: Codes for Immunocompromised States
Accidental Puncture or Laceration (PSI 15)
Numerator:
Episodes with an ICD-10-AM diagnosis code for accidental puncture, laceration, cut or perforation in any
secondary diagnosis field.
ICD-10-AM
T812
Y600
Y601
Y602
Y603
Y604
Y605
Y606
Y607
Y608
Y609
5th edition Accidental Puncture, Laceration, Cut or Perforation diagnosis codes:
Accid puncture lacr during proc NEC
Unintent cut perf haem during surg op
Unintent cut perf haem dur infus transfn
Unintent cut dur kidny dialys oth perfn
Unintent cut perf haem injection immunis
Unintent cut perf haem endoscopic exam
Unintent cut perf haem into heart cath
Unintent cut haem dur aspr punct cath
Unintent cut perf haem admin of enema
Unintent cut haem oth surg med care
Unintent cut haem surg med care unsp
Denominator:
All episodes, 18 years and older.
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for accidental puncture, laceration, cut or perforation in
the principal diagnosis field.
•
MDC 14 (Pregnancy, Childbirth, and Puerperium).
Transfusion Reaction (PSI 16)
Numerator:
Episodes with an ICD-10-AM diagnosis code for transfusion reaction in any secondary diagnosis field.
ICD-10-AM
T803
T804
Y446
Y447
Y640
Y650
5th edition Transfusion Reaction diagnosis codes:
ABO incompatibility reaction
Rh incompatibility reaction
Natural bl & bl products adv eff Rx use
Plasma substitutes adv eff Rx use
Contam med biol subs transfus or infus
Mismatched blood used in transfusion
Denominator:
All episodes with an ICD-10-AM procedure code for a transfusion.
ICD-10-AM
1330600
1370601
1370602
1370603
1370604
1370605
9206000
9206100
9206200
9206300
9206400
9220600
5th edition Transfusion procedure codes:
Exchange transfusion in infant
Transfusion of whole blood
Transfusion of packed cells
Transfusion of platelets
Transfusion of leukocytes
Transfusion of gamma globulin
Transfusion of autologous blood
Transfusion of coagulation factors
Transfusion of other serum
Transfusion of blood expander
Transfusion of other substance
Exchange transfusion
Exclude:
•
Episodes with an ICD-10-AM diagnosis code for transfusion reaction in the principal diagnosis field.
Birth Trauma – Injury to Neonate (PSI 17)
Numerator:
Episodes with an ICD-10-AM diagnosis code for birth trauma in any secondary diagnosis field.
ICD-10-AM
P100
P101
P102
P103
P104
P108
P109
P110
P111
P112
P114
P115
P119
P122
P130
P131
P132
P133
P138
P139
P142
P148
P149
P150
P151
P152
P153
P154
P155
P156
P158
P159
5th edition Birth Trauma diagnosis codes:
Subdural haemorrhage due to birth trauma
Cerebral haemorrhage due to birth trauma
Intraventricular haem dt birth trauma
Subarachnoid haemorrhage dt birth trauma
Tentorial tear due to birth trauma
Other intrcran lacr haem dt birth trauma
Unsp intrcran lacr haem dt birth trauma
Cerebral oedema due to birth trauma
Oth spec brain damage dt birth trauma
Unsp brain damage due to birth trauma
Birth trauma to other cranial nerves
Birth trauma to spine and spinal cord
Birth trauma to CNS unsp
Epicranial subaponeurotic haem birth inj
Fracture of skull due to birth trauma
Other birth trauma to skull
Birth trauma to femur
Birth trauma to other long bones
Birth trauma to oth parts of skeleton
Birth trauma to skeleton unspecified
Phrenic nerve paralysis dt birth trauma
Birth trauma to other perph nervous sys
Birth trauma to perph nervous sys unsp
Birth trauma to liver
Birth trauma to spleen
Sternomastoid trauma due to birth trauma
Birth trauma to eye
Birth trauma to face
Birth trauma to external genitalia
Sbc fat necrosis dt birth trauma
Other specified birth trauma
Birth trauma unspecified
Exclude:
•
Episodes with a subdural or cerebral haemorrhage (subgroup of birth trauma) and any diagnosis
code for pre-term infant (denoting birth weight less than 2,500 grams or less than 37 weeks
gestation).
•
Episodes with an injury to skeleton (subgroup of birth trauma) and an ICD-10-AM diagnosis code of
osteogenesis imperfecta.
ICD-10-AM
P0701
P0702
P0703
P0711
P0712
P0713
P0721
P0722
P0730
P0731
P0732
5th edition Pre-term Infant diagnosis codes:
Extremely low birth weight 499g or less
Extremely low birth weight 500 - 749g
Extremely low birth weight 750 - 999g
Other low birth weight 1000 - 1249g
Other low birth weight 1250 - 1499g
Other low birth weight 1500 - 2499g
Extrme immat, less than 24 completed wk
Extrme immat >=24 compl wk <28 compl wk
Prematurity, unspecified
Oth pret infnt >=28 but <32 compl wk
Oth pret infnt >=32 but <37 compl wk
Z381
Z384
Z387
Singleton born outside hospital
Twin born outside hospital
Oth multiple birth born outside hospital
ICD-10-AM 5th edition Osteogenesis Imperfecta diagnosis code:
Q780
Osteogenesis imperfecta
Denominator:
All newborns, defined as neonates with an ICD-10-AM diagnosis code for an in-hospital live birth.
ICD-10-AM
Z380
Z382
Z383
Z385
Z386
Z388
5th edition In-Hospital Live Birth diagnosis codes:
Singleton born in hospital
Singleton unsp as to place of birth
Twin born in hospital
Twin unspecified as to place of birth
Other multiple birth born in hospital
Oth multiple unsp as to place of birth
Obstetric Trauma – Vaginal Delivery with Instrument (PSI 18)
Numerator:
Episodes with an ICD-10-AM code for 3rd and 4th degree obstetric trauma in any diagnosis or procedure
field.
ICD-10-AM 5th edition Obstetric Trauma diagnosis codes:
O702
Third deg perineal laceration dur delv
O703
Fourth deg perineal laceration dur delv
ICD-10-AM
1657100
9047800
9048000
9048001
5th edition Obstetric Trauma procedure codes:
Suture current obst laceration of cervix
Suture of ruptured uterus
Sut obst lacr bladder/urethra wo perinl
Sut obst lacr rect/sphc ani wo perineal
Denominator:
All vaginal delivery episodes, defined by vaginal delivery DRGs, with an ICD-10-AM procedure code for
instrument-assisted delivery.
AR-DRG version 5.1 Vaginal Delivery DRGs:
O60A
Vaginal Delivery W Catastrophic or Severe CC
O60B
Vaginal Delivery W/O Catastrophic or Severe CC
O60C
Vaginal Delivery Single Uncomplicated W/O Other Condition
O02A
Vaginal Delivery W OR Procedure W Catastrophic or Severe CC
O02B
Vaginal Delivery W OR Procedure W/O Catastrophic or Severe CC
ICD-10-AM
9046800
9046801
9046802
9046803
9046804
9046900
9046901
9047002
9047004
5th edition Instrument-Assisted Delivery procedure codes:
Low forceps delivery
Mid-cavity forceps delivery
High forceps delivery
Forceps rotation of fetal head
Forceps rotation fetal head w delivery
Vacuum extraction
Failed vacuum extraction
Breech delivery forceps aftercomg head
Breech extraction forceps aftercomg head
Obstetric Trauma – Vaginal Delivery without Instrument (PSI 19)
Numerator:
Episodes with an ICD-10-AM code for 3rd and 4th degree obstetric trauma in any diagnosis or procedure
field.
ICD-10-AM 5th edition Obstetric Trauma diagnosis codes:
O702
Third deg perineal laceration dur delv
O703
Fourth deg perineal laceration dur delv
ICD-10-AM
1657100
9047800
9048000
9048001
5th edition Obstetric Trauma procedure codes:
Suture current obst laceration of cervix
Suture of ruptured uterus
Sut obst lacr bladder/urethra wo perinl
Sut obst lacr rect/sphc ani wo perineal
Denominator:
All vaginal delivery episodes, defined by vaginal delivery DRGs.
AR-DRG version 5.1 Vaginal Delivery DRGs:
O60A
Vaginal Delivery W Catastrophic or Severe CC
O60B
Vaginal Delivery W/O Catastrophic or Severe CC
O60C
Vaginal Delivery Single Uncomplicated W/O Other Condition
O02A
Vaginal Delivery W OR Procedure W Catastrophic or Severe CC
O02B
Vaginal Delivery W OR Procedure W/O Catastrophic or Severe CC
Exclude:
Episodes with an ICD-10-AM procedure code for instrument-assisted delivery.
ICD-10-AM
9046800
9046801
9046802
9046803
9046804
9046900
9046901
9047002
9047004
5th edition Instrument-Assisted Delivery procedure codes:
Low forceps delivery
Mid-cavity forceps delivery
High forceps delivery
Forceps rotation of fetal head
Forceps rotation fetal head w delivery
Vacuum extraction
Failed vacuum extraction
Breech delivery forceps aftercomg head
Breech extraction forceps aftercomg head
Obstetric Trauma – Caesarean Delivery (PSI 20)
Numerator:
Episodes with an ICD-10-AM code for 3rd and 4th degree obstetric trauma in any diagnosis or procedure
field.
ICD-10-AM 5th edition Obstetric Trauma diagnosis codes:
O702
Third deg perineal laceration dur delv
O703
Fourth deg perineal laceration dur delv
ICD-10-AM
1657100
9047800
9048000
9048001
5th edition Obstetric Trauma procedure codes:
Suture current obst laceration of cervix
Suture of ruptured uterus
Sut obst lacr bladder/urethra wo perinl
Sut obst lacr rect/sphc ani wo perineal
Denominator:
All caesarean delivery episodes, defined by caesarean delivery DRGs.
AR-DRG version 5.1 Vaginal Delivery DRGs:
O01A
Caesarean Delivery W Catastrophic CC
O01B
Caesarean Delivery W Severe CC
O01C
Caesarean Delivery W/O Catastrophic or Severe CC
Appendix A: Operating Room Procedure Codes
Used:
Complications of Anaesthesia (PSI 1)
Postoperative Hip Fracture (PSI 8)
Postoperative Haemorrhage or Haematoma (PSI 9)
Postoperative Physiologic and Metabolic Derangement (PSI 10)
Postoperative Respiratory Failure (PSI 11)
Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
Postoperative Sepsis (PSI 13)
ICD-10-AM 5th edition Operating Room procedure codes:
1532700
1310600 Thrombectomy external AV shunt
1310900 Ins & fix indwel peritonl cath long
1532706
term
1310901 Replace indwel peritonl cath f
1536000
dialysis
1311000 R/O indwel peritoneal cath for
1532701
dialysis
1311200 Est dialysis by abdo punct, ins
1532702
catheter
1320000 Asst reprod drug induced
1532707
superovulation
1320300 Monitor superovulation Rx & artf
1532703
insemin
1320600 Asst reprod usg un/stimulated
1532704
ovulation
1320900 Plan & mgmt asst reproductive
1532705
technology
1321200 Transvaginal oocyte retrieval
1533800
1321201 Transabdominal oocyte retrieval
1560000
1321500 Gamete intrafallopian transfer
[GIFT]
1560001
1321501 Embryo transfer to uterus
1321502 Embryo transfer to fallopian tube
1651100
1321503 Other reproductive medicine
1652000
procedure
1370600 Allo bm/sc trnsplnt rel don wo in
1652001
vitro
1370606 Allo bm/sc trnsplnt rel don w in
1652002
vitro
1370607 Autolgs bm/stem cel trnsplnt wo
1652003
in vitro
1370608 Autolgs bm/stem cell trnsplnt w in
1656400
vitro
1370609 Allo bm/sc trnsplnt oth don wo in
1656401
vitro
1370610 Allo bm/sc trnsplnt oth don w in
1657001
vitro
1420301 Direct living tissue implantation
1657100
1420601 Living tissue implantation by
cannula
1657300
1421500 Revision of gastric band
1530300 Brachytherapy IU low dose rate
1662100
1530400 Brachythrpy intrauterine high dose
3001701
rate
1531100 Brachytherapy intravaginal low
3002000
dose rate
1531200 Brachythrpy intravaginal high
3002300
dose rate
1531900 Brachytherapy IU & intravaginal
3002301
low dose
3005201
1532000 Brachytherapy IU & intravaginal
3005204
high ds
Brachythrpy impl remv sgl plane
low dose
Brachythrpy impl remv sgl plane
high ds
Brachytherapy, intravascular
Brachythrpy impl remv sgl plane
pulsd ds
Brachythrpy impl mult plane/vol
low dose
Brachythrpy impl mult plane vol
high ds
Brachythrpy impl mult plane/vol
pulsd ds
Brachythrpy w impl perm impl
<10 sources
Brachythrpy, impl perm impl
>=10 sources
Brachythrpy w impl perm impl,
prostate
Stereotactic radiation Rx, single
dose
Stereotactic radiation Rx,
fractionated
Insertion of cervical suture
Elective classical caesarean
section
Emergency classical caesarean
section
Elective lower segment caesarean
section
Emergency lower segment
caesarean sect
Postpartum evacuation of uterus
by D&C
Postpartum evac uterus suction
curettage
Surgical correction of inverted
uterus
Suture current obst laceration of
cervix
Sut third / fourth deg tear of
perineum
Amnio-infusion
Exc debride brn < 10% BSA exc /
debride
Exc debride brn > 10% BSA exc /
debride
Excisional debridement of soft
tissue
Debride sft tis incl bone or cart
Repair of wound of eyelid
Closure of fistula of mouth
3005800
3006103
3006800
3007102
3007500
3007501
3007502
3007503
3007504
3007505
3007506
3007507
3007508
3007509
3007510
3007511
3007512
3007513
3007514
3007515
3007516
3007517
3007519
3007520
3007521
3007522
3007524
3007525
3007527
3007529
3007530
3007532
3007533
3007535
3007536
3007537
3009300
3009400
3009411
3009412
3009600
3010300
3010400
3010700
3010701
3011100
3011400
3016500
3016800
3017100
Control postoperative
haemorrhage NEC
Removal of superficial FB from
sclera
Removal FB in soft tissue NEC
Biopsy of eyelid
Biopsy of lymph node
Biopsy of soft tissue
Biopsy of parathyroid glands
Biopsy of thyroid gland
Biopsy of adrenal gland
Biopsy pituitary gland transfrontal
appr
Bx pituitary gland,
transsphenoidal appr
Biopsy of thymus
Biopsy of pineal gland
Biopsy of spleen
Biopsy of bladder
Excision internal mammary lymph
node
Biopsy of stomach
Biopsy of small intestine
Biopsy of large intestine
Biopsy of gallbladder or bile duct
Biopsy of pancreas
Biopsy of abdominal wall or
umbilicus
Biopsy of tongue
Biopsy of blood vessel
Biopsy of seminal vesicle
Biopsy of salivary gland or duct
Biopsy of soft palate
Biopsy of tonsils and adenoids
Biopsy of penis
Biopsy of middle ear
Biopsy of inner ear
Biopsy perirenal or perivesical
tissue
Open biopsy of ureter
Biopsy of lacrimal gland
Biopsy of extraocular muscle or
tendon
Biopsy of peritoneum
Needle biopsy of vertebra
Perc [needle] biopsy of soft tissue
Perc [needle] biopsy of pineal
gland
Perc [needle] biopsy of thymus
gland
Biopsy of scalene node
Excision sinus inv soft tissue NEC
Excision of pre-auricular sinus
Excision of ganglion, NEC
Excision of small bursa
Excision of large bursa
Excision of Baker's cyst
Lipectomy of abdominal apron
Lipectomy, 1 excision
Lipectomy, 2 or more excisions
3017400
3017700
3022303
3022400
3022401
3022402
3022500
3022600
3022900
3023500
3023800
3024100
9060900
3024400
3024700
3025000
3025300
3025500
3025600
3025900
3026201
3026601
3026900
3027200
3027500
3028300
3028600
3028900
3029300
3029301
3029302
3029400
3029401
3029600
3029700
3029701
3030600
3030800
3030900
3031000
3031300
3031400
3031500
3031501
3031700
Lipectomy, abdominal apron,
subumbilical
Lipectomy of abdominal apron,
radical
Incision & drain abscess, soft
tissue
Perc drainage abscess, soft tissue
Perc drain intrabdo abs
haematoma cyst
Perc drainage retroperitoneal
abscess
Re-ins soft tis abscess drain tube
Fasciotomy, not elsewhere
classified
Excision of muscle, NEC
Repair of ruptured muscle, NEC
Repair of fascia, NEC
Excision of lesion of bone, NEC
Destruction of bone
R/O styloid process of temporal
bone
Total excision of parotid gland
Tot exc parotid gland, preserve fac
nrv
Partial excision of parotid gland
Removal of submandibular ducts
Excision of submandibular gland
Excision of sublingual gland
Diathermy of salivary gland or
duct
Marsupialisation cyst salivary
gland/dct
Repair fistula of salivary gland or
duct
Partial excision of tongue
Radical excision of intraoral lesion
Excision of cyst of mouth
Excision of branchial cyst
Excision of branchial fistula
Oesophagostomy
Closure of oesophagostomy
Oesophagotomy
Cervical oesophagectomy
Laryngopharyngectomy & plastic
recon
Total thyroidectomy, bilateral
Tot thyrdecty foll prev thyroid
surg
Subtot thyrdecty foll prev thyroid
surg
Total thyroid lobectomy, unilateral
Subtotal thyroidectomy, bilateral
Subtot thyroidectomy for
thyrotoxicosis
Subtotal thyroidectomy, unilateral
Excision of thyroglossal cyst
Radical exc thyroglossal cyst or
fistula
Subtotal parathyroidectomy
Total parathyroidectomy
Re-exploration of lymph node of
neck
3032000
3032001
3032100
3032300
3032900
3032901
3033000
3033200
3033500
3033600
3037300
3037500
3037502
3037503
3037504
3037505
3037506
3037508
3037509
3037510
3037511
3037512
3037513
3037514
3037515
3037517
3037518
3037519
3037520
3037521
3037522
3037523
3037524
3037525
3037526
3037527
3037528
3037529
3037530
3037800
3038200
3038201
3038202
3038203
Exploration mediastinum v
mediastinotomy
Removal of thymus via
mediastinotomy
Exc retroperitoneal neuroendocrine lsn
Exc retrpertnl neurendocrn lsn w
dissect
Excision of lymph node of groin
Regional excision lymph nodes of
groin
Radical excision of lymph nodes of
groin
Excision of lymph node of axilla
Regional excision lymph nodes of
axilla
Radical excision of lymph nodes,
axilla
Exploratory laparotomy
Caecostomy
Colotomy
Enterotomy of small intestine
Other colostomy
Cholecystostomy
Gastrotomy
Reduction intussusception sm
intestine
Excision of Meckel's diverticulum
Suture of perforated ulcer
Reduction intussusception, lrg
intestine
Reduction of gastric volvulus
Pyloroplasty
Incision and drainage of pancreas
Gastrotomy with removal of
foreign body
Reduction of volvulus of large
intestine
Reduction of volvulus of small
intestine
Other repair of small intestine
Splenotomy
Other procedures on spleen
Transabdominal gastroscopy
Endosc exam large intestine v
laparotomy
Suture of small intestine
Suture of laceration of large
intestine
Cholecystotomy
Marsupialisation of pancreatic cyst
Temporary colostomy
Temporary ileostomy
Appendicostomy
Division of abdominal adhesions
Rad rep enterocutaneous fist sm
intest
Perc rep enterocutaneous fist sm
intest
Rad rep enterocutaneous fist lrg
intest
Perc rep enterocutaneous fist lrg
intest
3038400
3038500
3039000
3039200
3039300
3039400
3039700
3040200
3040300
3040301
3040303
3040304
3040305
3040500
3040501
3040502
3040503
3040504
3040505
3040800
3041100
3041400
3041500
3041600
3041700
3041800
3041900
3042100
3042200
3042500
3043100
3043300
3043400
3043401
3043402
3043600
3043601
3043602
Staging laparotomy for lymphoma
Postoperative reopening
laparotomy site
Laparoscopy
Debulking of intra-abdominal
lesion
Laparoscopic division abdo
adhesions
Drain intrabdo abscess
haematoma cyst
Laparostomy via previous surgical
wound
Drainage of retroperitoneal
abscess
Repair of incisional hernia
Repair of other abdominal wall
hernia
Reclosure postop disruption abdo
wall
Delayed closure granulating abdo
wound
Rep abdo wall foll procure
myocutns flap
Rep incisional hernia w muscle
trnspostn
Repair incisional hernia with
prosthesis
Rep incisnl hernia resec strangd
intest
Rep oth abdo wall hernia musc
trnspostn
Repair other abdo wall hernia w
prosth
Rep oth abdo hrn w resec strangd
intest
Insertion of peritoneovenous
shunt
Intraoperative biopsy of liver
Excision of lesion of liver
Segmental resection of liver
Laparoscopic marsupialisation liver
cyst
Lap marsupialisation, mult liver
cysts
Lobectomy of liver
Cryotherapy of liver
Trisegmental resection of liver
Rep traumatic spfl laceration of
liver
Rep traum deep, mult lacerations
liver
Abdominal drainage of liver
abscess
Abdominal drainage mult liver
abscesses
Evacuation of hydatid cyst of liver
Evacuation hydatid cyst of
peritoneum
Evacuation hydatid cyst of abdo
organ
Evac hydatid cyst liver w
oment/myeloply
Evac hydatid cyst peritnm
oment/myeloply
Evac hydatid cyst abdo
oment/myeloplasty
3043800
3044300
3044500
3044600
3044800
3044900
3045001
3045101
3045103
3045400
3045401
3045500
3045700
3045801
3045802
3045803
3045804
3045805
3046000
3046001
3046002
3046003
3046004
3046005
3046006
3046007
3046008
3046100
3046300
3046400
3046600
3046700
3046900
3047200
3047201
3049001
3049002
3049600
3049601
3049602
3049700
3049701
3049702
Exc hydatid cyst liver, drain &
excision
Cholecystectomy
Laparoscopic cholecystectomy
Lap cholecystectomy proceed
open chole
Lap chole R/O CBD calculus v
cystic duct
Lap chole R/O CBD calculus lap
choledhty
Extr calculus renal tract by image
tech
Other removal of biliary stent
Endoscopic removal of biliary stent
Choledochotomy
Cholecystectomy with
choledochotomy
Cholecystectomy, choledochotomy
& anstms
Intrahep choledochotomy w R/O
calculus
Incision of sphincter of Oddi
Local excision lesion sphincter of
Oddi
R/O bile duct calculus, sphincter
Oddi
Repair of sphincter of Oddi
Repair of pancreatic duct sphincter
Cholecystoduodenostomy
Cholecystoenterostomy
Cholecystopancreatostomy
Choledochoduodenostomy
Choledochojejunostomy
Choledochoenterostomy
Choledochopancreatostomy
Hepaticoenterostomy
Roux-en-Y intestino-biliary bypass
Radical resection of porta hepatis
Radical resection of hepatic ducts
Rad resec hepatic ducts w resec
liver
Byps L heptc sys Roux-en-Y to
perph sys
Byps R heptc sys Roux-en-Y to
perph sys
Repair of biliary stricture
Repair of hepatic duct
Repair of common bile duct
Endosc replace of oesophageal
prosthesis
Endosc removal of oesophageal
prosthesis
Selective vagotomy
Selective vagotomy with
pyloroplasty
Selective vagotomy w gastroenterostomy
Vagotomy prt gastrecty gastoduod
anstms
Vagotomy prt gastrecty gastjejnl
anstms
Vagotomy prt gastrecty Roux-en-Y
recon
3049900
3050000
3050200
3050300
3050301
3050302
3050303
3050304
3050305
3050900
3051100
3051101
3051200
3051201
3051202
3051400
3051500
3051501
3051502
3051700
3051701
3051800
3051801
3051802
3052000
3052100
3052300
3052400
3052700
3052701
3052702
3052703
3052704
3052705
3052900
3052901
3053000
3053200
3053201
3053202
Highly selective vagotomy
Highly sel vagotomy w
duodenoplasty
Highly sel vagotomy w dilation
pylorus
Prt gastrectomy gastoduod foll PU
proc
Prt gastrectomy gastjejnl foll PU
proc
Prt gastrectomy Roux-en-Y foll PU
proc
Vagotmy gastrecty gastoduod foll
PU proc
Vagotmy gastrecty gastjejnl foll
PU proc
Vagotomy, gastrecty RouxY foll PU
proc
Gastric resection for bleed peptic
ulcer
Gastric reduction
Laparoscopic gastric reduction
Gastric bypass
Laparoscopic biliopancreatic
diversion
Biliopancreatic diversion
Surg reversal proc for morbid
obesity
Gastro-enterostomy
Enterocolostomy
Enteroenterostomy
Reconstruction of pyloroplasty
Reconstruction of
gastroenterostomy
Prt dstl gastrectomy gastoduod
anstms
Prt distal gastrectomy gastjejnl
anstms
Prt prx gastrectomy, oesphgast
anstms
Local excision of lesion of stomach
Total gastrectomy
Subtotal gastrectomy
Radical gastrectomy
Fundoplasty, laparoscopic
approach
Lap fundoplasty w closure diaph
hiatus
Fundoplasty, abdominal approach
Abdo fundoplasty w closure diaph
hiatus
Fundoplasty, transthoracic
approach
Trnsthorc fundoplasty w cls diaph
hiatus
Abdominal fundoplasty w
oesophagoplasty
Trnsthorc fundoplasty w
oesophagoplasty
Fundoplasty with cardiopexy
Oesophagogastric myotomy, lap
appr
Abdo oesphgast myotomy cls
diaph hiatus
Oesophagogastric myotomy,
abdominal appr
3053203
3053204
3053205
3053300
3053301
3053302
3053303
3053304
3053305
3053500
3053600
3053601
3054100
3054101
3054500
3054501
3055000
3055001
3055400
3055401
3055900
3056000
3056200
3056201
3056202
3056203
3056204
3056205
3056300
3056301
3056302
3056303
3056400
3056500
3056600
3056800
Thor oesphgast myotomy cls
diaph hiatus
Oesophagogastric myotomy,
thoracic appr
Lap oesphgast myotmy w cls
diaph hiatus
Abdo oesphgast myotomy w
fundoplasty
Abdo oesphgast myotmy fundoply
cls hiat
Thor oesophagogastric myotomy
fundoply
Thor oesphgast myotmy fundoply
cls hiat
Lap oesophagogastric myotomy
fundoplasty
Lap oesphgast myotmy fundoply
cls hiat
Oesphecty w thor oesphgast
anstms
Oesphecty w cerv oesphgast
anstms
Oesophagectomy w cerv
oesophagostomy
Trnshtl oesphecty w oesphgast
anstms
Trnshtl oesphecty w oesophgojejnl
anstms
Oesophagectomy w colon
interposition
Oesophagectomy w Roux-en-Y
thor anstms
Oesphecty w cerv anstms, colon
interpstn
Oesophagectomy w Roux-en-Y
cerv anstms
Oesophagectomy w recon, free
jejunal flp
Oesophagectomy w recon by oth
free flap
Local excision of lesion of
oesophagus
Repair of oesophageal perforation
Closure of loop ileostomy
Cls ileostomy w restor conty wo
resect
Closure of loop colostomy
Cls colostomy w restor continuity
Closure other stoma of small
intestine
Closure other stoma of large
intestine
Revision of stoma of small
intestine
Revision of stoma of large
intestine
Repair of parastomal hernia
Repair parastomal hernia resiting
stoma
Strictureplasty of small intestine
Resec small intestine w formation
stoma
Resec small intestine w
anastomosis
Endosc exam sm intest intraop
enterotomy
3056900
3057100
3057200
3057500
3057700
3057800
3058000
3058100
3058101
3058300
3058400
3058600
3058601
3058700
3058900
3059300
3059301
3059600
3059601
3059700
3060000
3060100
3060101
3060200
3060300
3060500
3060600
3060601
3060900
3060901
3060902
3060903
3061400
3061401
3061402
3061403
3061500
3061700
3061701
3061702
3063100
3063500
3064100
3064101
3064102
Endosc exam sm intestine via
laparotomy
Appendicectomy
Laparoscopic appendicectomy
Incision & drainage pancreatic
abscess
Major pancreatic/retropancreatic
dissect
Excision of lesion of pancreas
Excision of lesion of duodenum
Exploration of pancreas
Exploration of duodenum
Distal pancreatectomy
Pancreaticoduodenectomy w
stoma frm
Anastomosis of pancreas to
duodenum
Anastomosis of pancreas to
stomach
Anstms pancreas t Roux-en-Y loop
jejunum
Pancreaticojejunostomy
Pancreatectomy
Pancreatectomy with splenectomy
Partial splenectomy
Splenorrhaphy
Splenectomy
Repair traumatic diaphragmatic
hernia
Repair diaphragmatic hernia, abdo
appr
Repair diaphragmatic hernia, thor
appr
Insertion of portocaval shunt
Insertion of mesocaval shunt
Insertion of splenorenal shunt
Oesophageal transection via
stapler
Oversewing of gastric varices
Lap repair of femoral hernia,
unilateral
Lap repair of femoral hernia,
bilateral
Lap repair inguinal hernia,
unilateral
Lap repair inguinal hernia,
bilateral
Repair of femoral hernia,
unilateral
Repair of femoral hernia, bilateral
Repair of inguinal hernia,
unilateral
Repair of inguinal hernia, bilateral
Rep incarcerated obstr or strangd
hernia
Repair of umbilical hernia
Repair of epigastric hernia
Repair of linea alba hernia
Excision of hydrocele
Repair of varicocele
Orchidectomy, unilateral
Orchidectomy, bilateral
Orchidectomy ins testicular prosth
3064103
3064400
3064401
3064404
3064405
3064407
3064408
3064409
3064410
3064411
3064412
3065300
3066300
3066600
3067200
3067601
3100000
3123000
3123003
3124503
3134000
3135000
3140900
3141200
3142300
3142301
3143500
3146600
3147000
3150000
3150001
3151500
3151800
3151801
3152400
3152401
3155700
3156000
3156300
3156600
3200000
3200001
3200300
3200301
uni
Orchidectomy w ins testicular
prosth bil
Epididymotomy
Exploration of spermatic cord
Testicular biopsy, unilateral
Testicular biopsy, bilateral
Excision of lesion of testicle
Exc lesion spermatic cord or
epididymis
Excision of spermatic cord
Other repair vas deferens &
epididymis
Other repair spermatic cord &
epididymis
Oth proc spermatic cord,
epididymis, vas
Male circumcision
Control haem foll male
circumcision
Reduction of paraphimosis
Excision of coccyx
Excision of pilonidal sinus or cyst
Micro controlled serial exc lsn skin
Exc of lesion SSCT, eyelid
Excision of lesion SSCT, lip
Extsv exc SSCT for sycosis, face
or neck
Exc musc, bne, cart inv with sk lsn
Excision of lesion of soft tissue,
NEC
Exc parapharyngeal lesion,
cervical appr
Exc rec/persistent parapharyngeal
lesion
Excision of lymph node of neck
Regional excision of lymph nodes
of neck
Radical excision of lymph nodes of
neck
Revision fundoplasty
Laparoscopic splenectomy
Excision of lesion of breast
Open biopsy of breast
Re-excision of lesion of breast
Simple mastectomy, unilateral
Simple mastectomy, bilateral
Subcutaneous mastectomy,
unilateral
Subcutaneous mastectomy,
bilateral
Excision of duct (central) of breast
Excision of accessory breast tissue
Surgical eversion of inverted
nipple
Excision of accessory nipple
Limited exc lrg intestine w stoma
frm
Right hemicolectomy w stoma
formation
Limited excision lrg intestine w
anstms
Right hemicolectomy with
3200400
3200401
3200500
3200501
3200600
3200601
3200900
3201200
3201500
3202400
3202500
3202600
3202800
3202900
3202901
3203000
3203300
3203600
3203900
3204700
3205100
3205101
3206000
3206900
3206901
3207800
3208100
3209600
3209900
3210500
3210800
3211100
3211200
3211700
3212000
3212300
3212600
3213100
3213500
3213501
anastomosis
Subtotal colectomy w stoma
formation
Extended right hemicolectomy w
frm stma
Subtotal colectomy w anstms
Extended right hemicolectomy w
anstms
Left hemicolectomy with
anastomosis
Left hemicolectomy w stoma
formation
Total colectomy with ileostomy
Total colectomy w ileorectal
anastomosis
Total proctocolectomy with
ileostomy
High restor resec rectum w
anstms
Low restor resec rectum
extraperitoneal
Low restor resec rectum coloanal
anstms
Ultra low restorative ant resec
rectum
Construction of colonic reservoir
Revision of colonic reservoir
Rectosigmoidectomy w stoma
formation
Restor continuity after Hartmann's
proc
Excision of presacral lesion
Abdominoperineal proctectomy
Perineal proctectomy
Total proctocolectomy w ileo-anal
anstms
Tot proctcolecty ileoanal anstms &
stoma
Restorative proctectomy
Formation of ileostomy reservoir
Revision of ileostomy reservoir
Rigid sigmoidoscopy, polypectomy
<= 9
Rigid sigmoidoscopy, polypectomy
>= 10
Full thickness biopsy of rectum
Per anal submucosal exc, lsn/tis
rectum
Per anal full thck e/o anorectal
lsn/tis
Transsphincteric exc, lsn/tis
rectum
Reduction rectal mucosa, rectal
prolapse
Perineal rectosigmoidectomy
Abdominal rectopexy
Ins of anal suture for anorectal
prolps
Anoplasty
Sphincteroplasty
Perineal repair of rectocele
Rubber band ligation of
haemorrhoids
Destruction of haemorrhoids
3213502
3213503
3213800
3213801
3213802
3214201
3215900
3216200
3216500
3215901
3215902
3216201
3216202
3216600
3216601
3216602
3217400
3217401
3217402
3217700
3218300
3218600
3220000
3220300
3220301
3220600
3221000
3221001
3221002
3250000
3250001
3250401
3250500
3250800
3250801
3251100
3251400
3270000
3270001
3270002
3270003
3270004
Rubber band ligation of rectal
prolapse
Destruction of rectal mucosal
prolapse
Haemorrhoidectomy
Laser haemorrhoidectomy
Stapled haemorrhoidectomy
Excision of anal polyp
Exc anal fistula inv low anal
sphincter
Exc anal fistula inv upp anal
sphincter
Rep anal fist, rectal mucosa
advance flp
Ins seton anal fist inv low half
sphc
Ins seton & exc anal fist inv low
sphc
Ins seton anal fist inv upp half
sphc
Ins seton & exc anal fist inv upp
sphc
Insertion of anal seton
Adjustment of anal seton
Removal of anal seton
Drainage of intra-anal abscess
Drainage of perianal abscess
Drainage of ischiorectal abscess
Removal of anal wart
Intestinal sling proc prior
radiotherapy
Intraoperative colonic lavage
Devascularisation of distal muscle
Anal or perineal graciloplasty
Rev anal or perineal graciloplasty
Ins of gracilis neosphincter
pacemaker
Replace gracilis neosphincter
pacemaker
Adjust gracilis neosphincter
pacemaker
Removal gracilis neosphincter
pacemaker
Micro injections of venular flares
Multiple injections of varicose
veins
Interruption multiple tributaries of
VV
Subfascial interptn >= 1
perforating VV
Interruption sapheno-femoral jnct
VV
Interruption sapheno-popliteal jnct
VV
Interptn saphofemor saphopoptl
jnct VV
Reoperation for varicose veins
Carotid bypass using vein
Carotid-carotid bypass using vein
Carotid-subclavian bypass using
vein
Carotid-vertebral bypass using
vein
Aorto-subclavian-carotid bypass
3270005
3270006
3270007
3270008
3270009
3270010
3270011
3270300
3270800
3270801
3270802
3270803
3271200
3271201
3271500
3271501
3271502
3271503
3271800
3271801
3272100
3272101
3272400
3272401
3273000
3273001
3273300
3273301
3273600
3273900
3274200
3274500
3274800
3275100
3275101
usg vein
Carotid bypass using synthetic
material
Carotid-carotid bypass usg synthc
matrl
Carotid-vertebral byps usg synthc
matrl
Carotid-subclavian bypass synthc
matrl
Aorto-carotid byps usg synthc
material
Aorto-carot-brachial bypass
synthc matrl
Aorto-subclavn-carot bypass
synthc matrl
Resection carotid artery w
reanstms
Aorto-femoral bypass usg synthc
material
Aorto-femoro-femoral bypass
synthc matrl
Aorto-iliac bypass using synthetic
matrl
Aorto-ilio-femoral byps usg synthc
matrl
Iliofemoral bypass using vein
Iliofemoral bypass usg synthc
material
Subclavian-femoral byps usg
synthc matrl
Subclavian-bifemoral bypass
synthc matrl
Axillo-femoral bypass usg synthc
matrl
Axillo-bifemoral byps usg synthc
matrl
Iliofemoral crossover bypass
Femoro-femoral crossover bypass
Renal bypass using vein, unilateral
Renal bypass using synthetic
matrl, uni
Renal bypass using vein, bilateral
Renal bypass using synthetic
matrl, bil
Mesenteric bypass usg vein single
vessel
Mesenteric byps synthc matrl, sgl
vesl
Mesenteric bypass usg vein mult
vessels
Mesenteric byps synthc matrl,
mult vesl
Other proc on inferior mesenteric
artery
Fem-pop bypass usg vein above
kne anstms
Fem-pop bypass usg vein below
kne anstms
Femor prx tibl/peroneal art byps
usg ven
Femor dstl tibl/peronl art byps usg
ven
Fem-pop bypass usg synthc matrl
abv knee
Fem-pop bypass usg synthc matrl
blw knee
3275102
3275103
3275400
3275401
3275402
3275700
3275701
3276000
3276300
3276301
3276302
3276303
3276304
3276305
3276306
3276307
3276308
3276309
3276310
3276311
3276312
3276313
3276314
3276315
3276316
3276317
3276318
3276319
3276600
3276601
3305000
3305500
3307000
3307500
3308000
3310000
3310300
Femor to prx tibl/peronl art byps
synthc
Femor dstl tibl/peronl art byps
synthc
Fem-pop byps usg composite gft
abv knee
Fem-pop byps usg composite gft
blw knee
Femor to tibl/peronl art byps
compst gft
Femoral artery sequential byps
usg vein
Femoral art sequential byps
synthc matrl
Procure vein fm limb f
byps/replace gft
Other arterial bypass using vein
Other arterial byps gft usg synthc
matrl
Subclavian-vertebral bypass using
vein
Subclavian-axillary bypass using
vein
Spleno-renal bypass using vein
Aorto-coeliac bypass using vein
Aorto-femoro-popliteal bypass
using vein
Ilio-iliac bypass using vein
Popliteal-tibial bypass using vein
Aorto-subclavian bypass usg
synthc matrl
Subclavian-subclavian byps,
synthc matrl
Subclavian-vertebral bypass
synthc matrl
Subclavian-axillary bypass, synthc
matrl
Axillo-axillary bypass usg synthc
matrl
Axillo-brachial bypass usg synthc
matrl
Spleno-renal bypass usg synthc
material
Aorto-coeliac bypass usg synthetic
matrl
Aorto-femoro-popliteal byps
synthc matrl
Ilio-iliac bypass using synthetic
matrl
Popliteal-tibl byps usg synthc
material
Rep other artery by direct
anastomosis
Rep other vein by dir anastomosis
Replace popliteal aneurysm using
vein
Replace popliteal anrysm usg
synthc gft
Repair of aneurysm in extremity
Repair of aneurysm in neck
Repair of intra-abdominal
aneurysm
Replace carotid artery aneurysm w
graft
Replace thoraco-aortic aneurysm
w graft
3310900
3311200
3311500
3311600
3311800
3312100
3312400
3312700
3313000
3313001
3313300
3313600
3313900
3314200
3314500
3314800
3315100
3315400
3315700
3316000
3316300
3316600
3316601
3316900
3317200
3317500
3317800
3318100
3350000
3350600
3350601
3350900
3351200
3351500
3351501
3351800
3352100
3352400
Replace thoraco-abdominal
aneurysm w gft
Replace suprarenal AAA with graft
Replace infrarenal AAA with tube
graft
Endovascular repair of aneurysm
Replace infrarnl AAA bifur gft iliac
art
Replace infrarnl AAA bifur gft
femor art
Replace iliac art aneurysm w graft,
uni
Replace iliac art aneurysm w graft,
bil
Exc & rep visc art aneurysm, dir
anstms
Replace visceral artery aneurysm
w graft
Interruption of visceral artery
aneurysm
Rep fls anrysm at aort anstms foll
surg
Repair false aneurysm in iliac
artery
Repair false aneurysm in femoral
artery
Replace rupt thor-aortic anrysm w
gft
Replace rupt thor-abdo aneurysm
w gft
Replace ruptured suprarenal AAA
w graft
Replace rupt infrarenal AAA w
tube gft
Replace rupt infrarnl AAA w iliac
graft
Replace rupt infrarnl AAA w femor
graft
Replace rupt iliac art aneurysm w
graft
Exc & rep rupt visc art anrysm,
anstms
Replace rupt visc art aneurysm w
graft
Interruption ruptured visc art
aneurysm
Replace other major art aneurysm
w graft
Repair ruptured aneurysm in
extremity
Repair of ruptured aneurysm in
neck
Repair ruptured intra-abdominal
aneurysm
Carotid endarterectomy
Innominate endarterectomy
Subclavian endarterectomy
Aorta endarterectomy
Aorto-iliac endarterectomy
Aorto-femoral endarterectomy
Iliofemoral endarterectomy,
bilateral
Iliac endarterectomy
Iliofemoral endarterectomy,
unilateral
Renal endarterectomy, unilateral
3352700
3353000
3353001
3353300
3353600
3353900
3354200
3354800
3354801
3354802
3354803
3355100
3355400
3380000
3380300
3380301
3380302
3380600
3380601
3380602
3380603
3380604
3380605
3380606
3380607
3380608
3380609
3380610
3380611
3380612
3381000
3381001
3381100
3381101
3381200
3381201
3381202
Renal endarterectomy, bilateral
Coeliac endarterectomy
Superior mesenteric
endarterectomy
Coeliac & supr mesenteric
endarterectomy
Inferior mesenteric
endarterectomy
Endarterectomy of extremities
Extended endarterectomy deep
femoral art
Patch graft of artery using autolgs
mtrl
Patch graft art usg synthetic
material
Patch graft of vein using autolgs
mtrl
Patch graft vein usg synthetic
material
Procurement vein fm limb f patch
graft
Endarterectomy w art byps prep f
anstms
Embolectomy/thrombectomy
carotid artery
Embolectomy/thrombectomy
subclavian art
Embolectomy/thrombectomy,
innominate art
Emblectmy/thrmbectmy byps
graft art trnk
Embolectomy/thrombectomy
axillary artery
Embolectomy/thrombectomy
brachial artery
Embolectomy/thrombectomy,
radial artery
Embolectomy/thrombectomy of
ulnar artery
Embolectomy/thrombectomy,
coeliac artery
Embolectomy/thrombectomy
mesenteric art
Embolectomy/thrombectomy,
renal artery
Embolectomy/thrombectomy,
splenic artery
Embolectomy/thrombectomy of
iliac artery
Embolectomy/thrombectomy,
femoral artery
Embolectomy/thrombectomy,
popliteal art
Embolectomy/thrombectomy,
tibial artery
Emblectmy/thrmbectmy byps gft
art extrem
Closed thrombectomy inferior
vena cava
Closed thrombectomy of iliac vein
Open thrombectomy inferior vena
cava
Open thrombectomy of iliac vein
Thrombectomy of femoral vein
Thrombectomy of popliteal vein
Thrombectomy of subclavian vein
3381203
3381204
3381500
3381501
3381502
3381503
3381504
3381505
3381506
3381507
3381508
3381509
3381510
3381511
3381512
3381513
3381800
3381801
3381802
3381803
3381804
3381805
3381806
3381807
3381808
3381809
3381810
3381811
3381812
3381813
3382100
3382101
3382102
3382103
3382104
3382105
3382106
3382107
3382108
3382109
3382110
3382111
3382112
3382113
3382400
3382401
3382700
3382701
3383000
3383001
3383300
3383301
3383302
3383303
3383304
Thrombectomy of axillary vein
Thrombectomy of other large vein
Direct closure of axillary artery
Direct closure of brachial artery
Direct closure of radial artery
Direct closure of ulnar artery
Direct closure of femoral artery
Direct closure of popliteal artery
Direct closure of tibial artery
Direct closure of peroneal artery
Direct closure of axillary vein
Direct closure of brachial vein
Dir closure other upper limb vein
Direct closure of femoral vein
Direct closure of popliteal vein
Direct closure oth lower limb vein
Repair axillary artery dir anstms
Repair brachial artery dir anstms
Repair radial artery by dir anstms
Repair ulnar artery, dir anstms
Repair femoral artery, dir anstms
Repair popliteal art, dir anstms
Repair tibial artery, dir anstms
Repair peroneal artery dir anstms
Repair axillary vein, dir anstms
Repair brachial vein, dir anstms
Rep oth upper limb vein, dir
anstms
Rep femoral vein by dir anstms
Rep popliteal vein by dir anstms
Rep oth lower limb vein dir anstms
Repair axillary art, interpstn gft
Repair brachial art, interpstn gft
Repair radial artery interpstn gft
Repair ulnar artery, interpstn gft
Repair femoral art, interpstn gft
Repair popliteal art interpstn gft
Repair tibial artery interpstn gft
Repair peroneal art, interpstn gft
Repair axillary vein interpstn gft
Repair brachial vein interpstn gft
Rep oth upper limb ven interpstn
gft
Repair femoral vein, interpstn gft
Repair popliteal vein, interpstn gft
Rep oth low limb vein, interpstn
gft
Direct closure of carotid artery
Direct closure of jugular vein
Repair carotid artery, dir anstms
Rep jugular vein by dir anstms
Repair carotid art, interpstn gft
Repair jugular vein by interpstn
gft
Direct closure of coeliac artery
Direct closure of renal artery
Direct closure mesenteric artery
Direct closure of iliac artery
Direct closure of renal vein
3383305
3383306
3383307
3383308
3383309
3383600
3383601
3383602
3383603
3383604
3383605
3383606
3383607
3383608
3383609
3383900
3383901
3383902
3383903
3383904
3383905
3383906
3383907
3383908
3383909
3384200
3384500
3384800
3410000
3410001
3410002
3410003
3410300
3410301
3410302
3410303
3410304
3410305
3410306
3410307
3410308
3410309
3410310
3410311
3410312
3410313
3410314
3410315
3410316
3410317
3410318
3410319
3410600
3410601
3410602
Direct closure of portal vein
Direct closure of splenic vein
Direct closure mesenteric vein
Direct closure of iliac vein
Dir closure other abdominal vein
Repair coeliac artery, dir anstms
Repair renal artery direct anstms
Repair iliac artery direct anstms
Repair mesenteric art, dir anstms
Repair renal vein by dir anstms
Repair portal vein by dir anstms
Repair splenic vein by dir anstms
Repair mesenteric vein, dir anstms
Repair iliac vein by dir anstms
Repair other abdo vein dir anstms
Repair coeliac art, interpstn gft
Repair renal artery, interpstn gft
Repair mesenteric art, interpstn
gft
Repair iliac artery, interpstn gft
Repair renal vein by interpstn gft
Repair portal vein, interpstn gft
Repair splenic vein, interpstn gft
Rep mesenteric vein, interpstn gft
Repair iliac vein by interpstn gft
Repair oth abdo vein interpstn gft
Cntl bleeding after carot/vert art
surg
Control bleeding after abdo vasc
proc
Control bleed after extremity vasc
proc
Exploration of carotid artery
Exploration of jugular vein
Interruption of carotid artery
Interruption of jugular vein
Exploration of subclavian artery
Exploration of axillary artery
Exploration of iliac artery
Exploration of femoral artery
Exploration of popliteal artery
Exploration of subclavian vein
Exploration of axillary vein
Exploration of iliac vein
Exploration of femoral vein
Exploration of popliteal vein
Interruption of subclavian artery
Interruption of axillary artery
Interruption of iliac artery
Interruption of femoral artery
Interruption of popliteal artery
Interruption of subclavian vein
Interruption of axillary vein
Interruption of iliac vein
Interruption of femoral vein
Interruption of popliteal vein
Exploration of brachial artery
Exploration of radial artery
Exploration of ulnar artery
3410603
3410604
3410605
3410606
3410607
3410608
3410609
3410610
3410611
3410612
3410613
3410614
3410615
3410616
3410617
3410618
3410619
3411200
3411201
3411500
3411501
3411800
3411801
3412100
3412101
3412102
3412400
3412401
3412402
3412700
3412701
3412702
3413000
3413300
3413600
3413900
3414200
3414500
3414800
3415100
3415400
3415700
3416000
Exploration of tibial artery
Exploration of other artery
Exploration of brachial vein
Exploration of radial vein
Exploration of ulnar vein
Exploration of tibial vein
Exploration of other vein
Interruption of brachial artery
Interruption of radial artery
Interruption of ulnar artery
Interruption of tibial artery
Interruption of other artery
Interruption of brachial vein
Interruption of radial vein
Interruption of ulnar vein
Interruption of tibial vein
Interruption of other vein
Excision/ligation simple AV fistula
limb
Excision/ligation complx AV fistula
limb
Excision/ligation simple AV fistula
neck
Excision/ligation complx AV fistula
neck
Excision/ligation simple AV fistula
abdo
Excision/ligation complx AV fistula
abdo
Rep simple AV fist extrem, restor
conty
Rep complx AV fist extrem, restor
conty
Interptn feeding vesl AV fistula of
limb
Rep simple AV fist neck w restor
conty
Rep complx AV fist neck w restor
conty
Interptn feeding vesl AV fistula of
neck
Rep simple AV fist abdo w restor
conty
Rep complx AV fist abdo w restor
conty
Interptn feeding vesl AV fistula of
abdo
Closure surg created AV fistula of
limb
Scalenotomy
Prt ostectmy 1st rib decomp thor
outlet
Tot ostectmy cerv rib decomp thor
outlet
Decompression of coeliac artery
Decompression of popliteal artery
Resec lesion carotid artery <=4cm
dia
Resec lesion carotid artery > 4cm
dia
Resection recurrent lesion carotid
art
Excision of bypass graft from neck
Rep aorto-enteric fist w dir cls
3416300
3416600
3416900
3417200
3417500
3450000
3450001
3450600
3450900
3450901
3451200
3451201
3451500
3451800
3451801
3452701
3452801
3453002
3480000
3480300
3480301
3480600
3480601
3480900
3481200
3481201
3481800
3482100
3482400
3483300
3500000
3500300
3500301
3500600
3500601
3500900
3500901
3501200
aorta
Rep aorto-enteric fist w ins aorta
graft
Rep aortoentrc fist w ax-femor
byps gft
Excision of bypass graft from
trunk
Exc axillo-femor/bifemoral byps
graft
Excision of bypass graft from limb
Insertion external arteriovenous
shunt
Replacement external
arteriovenous shunt
Removal of external arteriovenous
shunt
Arteriovenous anastomosis of
lower limb
Arteriovenous anastomosis of
upper limb
Construction AV fistula w graft of
vein
Construction AV fistula with
prosthesis
Thrombectomy of arteriovenous
fistula
Correction stenosis AV fistula
Correction stenosis prosth AV
access dev
Ins implantable vascular infusion
pump
Perc ins implantable vascular infus
pump
Revision implantable vascular
infus dev
Interruption of vena cava
Vena cava bypass using vein
Vena cava bypass usg synthetic
material
Sapheno-iliac vein cross leg
bypass
Sapheno-femoral vein cross leg
bypass
Femoral vein bypass
Other vein bypass using vein
Other vein bypass usg synthetic
material
Repair of venous valve
Vein transplantation
Applicn ext stent to superficial
vein
Application external stent to deep
vein
Lumbar surgical sympathectomy
Cervical surgical sympathectomy
Thoracic surgical sympathectomy
Cervical surgical sympathectomy,
reop
Thoracic surgical sympathectomy,
reop
Lumbar surgical sympathectomy,
reop
Sacral surgical sympathectomy,
reop
Sacral surgical sympathectomy
3520200
3530306
3530307
3530400
3533500
3530401
3530500
3534100
3534400
3530501
3530906
3530907
3530908
3530909
3531000
3533800
3531001
3533801
3531002
3534401
3531003
3531004
3531005
3531200
3531201
3531500
3531501
3532100
3533000
3533001
3550700
3550701
3550900
3551300
3551800
3552000
3553000
3553001
3553300
3553600
3553601
3553602
Access for reop art/veins neck
abdo lmb
Perc transluminal balloon
angioplasty
Open transluminal balloon
angioplasty
PTCA, 1 coronary artery
PTCRA, 1 artery
Open TBA of 1 coronary artery
PTCA, multiple coronary arteries
PTCRA, multiple arteries
PTCRA, multiple arteries w ins 1
stent
Open TBA mult coronary arteries
PTA perc w stenting, single stent
PTA perc w stenting, multiple
stents
Open TBA w stenting, single stent
Open TBA w stenting, multiple
stents
Perc ins trnslml stent, sgl coron
artery
PTCRA, 1 artery w insertion of 1
stent
Perc ins mult trnslml stnt sgl
coron art
PTCRA, 1 artery w insertion >= 2
stents
Perc ins >=2 trnslml stnt coron
arteries
PTCRA, mult arteries w ins >= 2
stents
Open ins trnslml stent single coron
art
Opn ins mult trnslml stnt sgl coron
art
Opn ins mult trnslml stnt coron
arteries
Perc peripheral artery
atherectomy
Open peripheral artery
atherectomy
Perc peripheral laser angioplasty
Open peripheral laser angioplasty
Transcatheter embolisation blood
vessel
Perc insertion inferior vena cava
filter
Open insertion inferior vena cava
filter
Destruction of vaginal wart
Destruction of vulval wart
Hymenectomy
Treatment of Bartholin's gland
cyst
Aspiration of ovarian cyst
Treatment Bartholin's gland
abscess
Subtotal amputation of clitoris
Total amputation of clitoris
Vulvoplasty
Hemivulvectomy
Vulvectomy, unilateral
Vulvectomy, bilateral
3553900
3553901
3553902
3553903
3554800
3555100
3555101
3555700
3556000
3556001
3556100
3556500
3556600
3556700
3556900
3557200
3557201
3557600
3557601
3558000
3558400
3558700
3559000
3559001
3559002
3559300
3559600
3559601
3559602
3559603
3559900
3559901
3560000
3560800
3560801
3560802
3561100
3561200
3561300
3561500
3561800
3561801
3561802
3561803
3561804
3562000
3562200
3562300
Laser destruction of lesion of vulva
Laser destruction of lesion of
vagina
Laser destruction of lesion of
cervix
Biopsy of vagina
Radical vulvectomy
Rad exc pelv lymph n via lap gyn
malg
Rad exc pelv lymph nodes for gyn
malg
Excision of lesion of vagina
Partial vaginectomy
Complete vaginectomy
Radical vaginectomy
Vaginal reconstruction
Excision of vaginal septum
Other repair of vagina, NEC
Enlargement of vaginal orifice
Colpotomy
Vaginotomy
Repair of cystocele
Repair of rectocele
Repair of cystocele and rectocele
Repair of pelvic floor prolapse
Repair of urethrocele
Suspension of vaginal vault
Repair enterocele, abdominal
approach
Suspension vaginal vault, rep
enterocele
Repair of enterocele, vaginal
approach
Repair rectovaginal fistula
Repair vesicovaginal fist, vaginal
appr
Repair ureterovaginal fist
Repair of other fistula of vagina
Sling procedure for stress
incontinence
Revision sling proc, stress
incontinence
Vaginal repair for stress
incontinence
Cautery of cervix
Other destruction of lesion of
cervix
Biopsy of cervix
Cervical polypectomy
Removal stump of cervix,
abdominal appr
R/O stump of cervix, vaginal
approach
Biopsy of vulva
Cone biopsy of cervix
Cone biopsy of cervix by laser
Repair of cervix
Other procedures on cervix
Amputation of cervix
Biopsy of endometrium
Endoscopic endometrial ablation
Myomectomy of uterus via
3563300
3563301
3563400
3563702
3563704
3563706
3563707
3563708
3563710
3563800
3563801
3563802
3563803
3563804
3563805
3563806
3563807
3563808
3563809
3563810
3563811
3563812
3563813
3564000
3564001
3564003
3564300
3564301
3564302
3564600
3564700
3564900
3564901
3564902
3564903
3565300
3565301
3565302
hysteroscopy
Division of intrauterine adhesions
Polypectomy of uterus via
hysteroscopy
Division uterine septum,
hysteroscopy
Lap diathermy of lesion of pelvic
cavity
Laparoscopic ventrosuspension
Biopsy of ovary
Lap rupture ovarian cyst or
abscess
Laparoscopic ovarian drilling
Lap excision of lesion of pelvic
cavity
Laparoscopic wedge resection of
ovary
Laparoscopic partial oophorectomy
Laparoscopic oophorectomy,
unilateral
Laparoscopic oophorectomy,
bilateral
Laparoscopic ovarian cystectomy,
uni
Laparoscopic ovarian cystectomy,
bil
Laparoscopic salpingotomy
Laparoscopic partial
salpingectomy, uni
Laparoscopic partial
salpingectomy, bil
Laparoscopic salpingectomy,
unilateral
Laparoscopic salpingectomy,
bilateral
Laparoscopic salpingooophorectomy, uni
Laparoscopic salpingooophorectomy, bil
Lap uni oophorectomy, bil
salpingectomy
Dilation & curettage of uterus
[D&C]
Curettage of uterus without
dilation
Suction curettage of uterus
D&C foll abortn or for termntn of
preg
Suctn curet foll abortn / f termntn
preg
Dilation and evacuation of uterus
[D&E]
Radical diathermy of cervix
Large loop excision transformation
zone
Hysterotomy
Myomectomy of uterus via
laparoscopy
Division uterine septum via
hysterotomy
Myomectomy of uterus
Subtotal abdominal hysterectomy
Total abdominal hysterectomy
Abdo hysterectomy w uni
salpgophcty
3565303
3565700
3565800
3566100
3566400
3566401
3566700
3566701
3567000
3567300
3567301
3567400
3567401
3567700
3567701
3567702
3567703
3567704
3567705
3567800
3567801
3568000
3568001
3568400
3568401
3568800
3568801
3568802
3568803
3568804
3569400
3569401
3569402
3569403
3569404
3569405
3569406
3569407
3569700
3570301
3571000
3571301
Abdo hysterectomy bil
salpgophcty
Vaginal hysterectomy
Debulking uterus preceding
hysterectomy
Abdo hystrectmy extsv retrpertnl
dissect
Rad abdo hystrectmy rad exc pelv
lymph n
Rad vaginal hystrectmy exc pelv
lymph n
Radical abdominal hysterectomy
Radical vaginal hysterectomy
Abdo hystrectmy rad exc pelv
lymph nodes
Vaginal hysterectomy w uni
salpgophcty
Vaginal hysterectomy w bil
salpgophcty
Fetotoxic inj/o ectopic preg using
u/s
Fetotoxic inj/o ectopic preg v lap
R/O peritoneal ectopic pregnancy
Manual/hydrostatic expres
fallopian tube
Fetotoxic injection ectopic
pregnancy
Fetotoxic management R/O
ectopic preg
Salpingotomy w removal tubal
pregnancy
Salpingectomy w removal tubal
pregnancy
Lap salpingotomy w R/O tubal
pregnancy
Lap salpingectomy w R/O tubal
pregnancy
Lap reconstruction uterus &
support str
Reconstruction uterus &
supporting str
Other laparoscopic uterine
suspension
Uterine suspension
Laparoscopic sterilisation
Sterilisation via vaginal approach
Sterilisation open abdominal
approach
Lap electrodestruction fallopian
tubes
Electrodestruction of fallopian
tubes
Laparoscopic salpingoplasty
Lap anastomosis of fallopian tube
Laparoscopic salpingolysis
Laparoscopic salpingostomy
Salpingoplasty
Anastomosis of fallopian tube
Salpingolysis
Salpingostomy
Microsurgical salpingoplasty
Therapeutic hydrotubation
Falloposcopy
Diathermy of lesion of pelvic
3571302
3571303
3571304
3571305
3571306
3571307
3571308
3571309
3571311
3571312
3571314
3571700
3571701
3571702
3571703
3571704
3571705
3572000
3572300
3572301
3572302
3572303
3572601
3572900
3572901
3575000
3575300
3575301
3575600
3575601
3575602
3575900
3650000
3650001
3650002
3650300
3650301
3651600
3651601
3651602
3651603
3651604
3651605
3651606
cavity
Rupture of ovarian cyst or abscess
Ovarian drilling
Ovarian cystectomy, unilateral
Wedge resection of ovary
Partial oophorectomy
Oophorectomy, unilateral
Partial salpingectomy, unilateral
Salpingectomy, unilateral
Salpingo-oophorectomy, unilateral
Salpingotomy
Excision of lesion of pelvic cavity
Ovarian cystectomy, bilateral
Oophorectomy, bilateral
Partial salpingectomy, bilateral
Salpingectomy, bilateral
Salpingo-oophorectomy, bilateral
Unil oophorectomy w bil
salpingectomy
Debulking of lesion of pelvic cavity
Lap pelv/abdo lymph sampling
gyn malg
Pelv/abdo lymph node sampling
gyn malg
Lap para-aortic lymph n sampl
gyn malg
Para-aortic lymph n sampling gyn
malg
Staging laparotomy
Laparoscopic transposition of
ovary
Transposition of ovary
Lap assisted vaginal hysterectomy
Lap asst vag hystrectmy uni
salpgophcty
Lap asst vag hystrectmy bil
salpgophcty
Lap asst vag proceed abdo
hysterectomy
Vag to abdo hystrectmy uni
salpgophcty
Vag to abdo hystrectmy w bil
salpgophcty
Control postop haem foll gyn surg
NEC
Partial adrenalectomy
Total adrenalectomy, unilateral
Total adrenalectomy, bilateral
Renal transplantation
Autotransplantation of kidney
Lap complete nephrectomy,
unilateral
Complete nephrectomy, unilateral
Lap complete nephrectomy,
bilateral
Complete nephrectomy, bilateral
Lap nephrectomy trnsplnt, living
donor
Nephrectomy transplantation
living donor
Nephrectomy for transplantation
cadaver
3651900
3651901
3651902
3651903
3652200
3652201
3652500
3652501
3652800
3652801
3652900
3653100
3653101
3653300
3653700
3653701
3654000
3654300
3654900
3654901
3655200
3655201
3655800
3655801
3655802
3656400
3656401
3657000
3657001
3657300
3657301
3657900
3657901
3657902
3657903
3658500
3658501
3658502
3658503
3658800
3658801
3658802
3658803
Lap nephrectomy R/O
transplanted kidney
Nephrectomy for R/O transplanted
kidney
Lap nephrectomy prev surg same
kidney
Nephrectomy prev surg same
kidney
Laparoscopic partial nephrectomy
Partial nephrectomy
Lap prt nephrectomy prev surg
kidney
Prt nephrectomy prev surg same
kidney
Laparoscopic radical nephrectomy
Radical nephrectomy
Rad nephrectomy complic prev
surg kidny
Laparoscopic nephroureterectomy
Nephroureterectomy
Nephuretectomy complic prev
surg kidny
Exploration of perinephric area
Exploration of kidney
Nephrolithotomy w removal <= 2
calculi
Nephrolithotomy w removal >= 3
calculi
Ureterolithotomy
Laparoscopic ureterolithotomy
Nephrostomy
Pyelostomy
Laparoscopic excision of renal cyst
Excision of renal cyst
Other local excision renal
lesion/tissue
Laparoscopic pyeloplasty
Pyeloplasty
Lap pyeloplty prev surg ren pelv,
kidney
Pyeloplasty prev surg ren pelvis,
kidney
Laparoscopic repair of divided
ureter
Repair of divided ureter
Laparoscopic partial ureterectomy
Partial ureterectomy
Laparoscopic complete
ureterectomy
Complete ureterectomy
Lap trnsplnt ureter into skin
unilateral
Transplantation ureter into skin,
uni
Lap transplantation ureter into
skin bil
Transplantation of ureter into skin
bil
Lap re-impl ureter into bladder,
uni
Reimplantation ureter into bladder
uni
Lap re-impl ureter into bladder, bil
Reimplantation ureter into
3659100
3659101
3659102
3659103
3659104
3659105
3659400
3659401
3659402
3659403
3659700
3659701
3660002
3660600
3660603
3660900
3660901
3660902
3660903
3661200
3661201
3661500
3661501
3661502
3661503
3661800
3661801
3662100
3662400
3662703
3663900
3664500
3665201
3665401
3665402
3665601
bladder, bil
Lap re-impl ureter in bladder flap
uni
Re-impl ureter into bladder w flap,
uni
Lap re-impl ureter in bladder w
flap bil
Re-impl ureter into bladder w flap,
bil
Re-impl ureter in blader psoas
htch uni
Re-impl ureter in bladder psoas
htch bil
Lap trnsplnt ureter into intestine,
uni
Transplantation ureter into intest
uni
Lap trnsplnt ureter into intestine,
bil
Transplantation ureter into intest,
bil
Lap trnsplnt of ureter into other
ureter
Transplantation ureter into other
ureter
Formation incontinent intest urin
resv
Formation continent intest urin
resv
Frm contint urin resv w atchmt
ureth
Revision of intestinal urinary
conduit
Revision of intestinal urinary
reservoir
Laparoscopic revision of
ureterostomy
Revision of ureterostomy
Laparoscopic exploration of ureter
Exploration of ureter
Laparoscopic ureterolysis
Ureterolysis
Lap ureterolysis w repositioning
ureter
Ureterolysis w repositioning of
ureter
Laparoscopic reduction
ureteroplasty
Reduction ureteroplasty
Closure of cutaneous
ureterostomy
Percutaneous nephrostomy
Perc nephroscopy w diathermy of
kidney
Perc nephroscopy frag & extr <=2
calc
Perc nephroscopy frag/extr >=3
calculi
Retrogd pyeloscopy w manip of
ren calc
Retrogd pyeloscopy w diathermy
to kidney
Retrogd pyeloscopy w extr of ren
calc
Retrogd pyelosc w frag & extr ren
calc
3680302
3680601
3680602
3681100
3681101
3681202
3681500
3682103
3682500
3683000
3683600
3684000
3722400
3684001
3722401
3684002
3684200
3684500
3684501
3684502
3684503
3684504
3684505
3684800
3685100
3685400
3685401
3685402
3685403
3685700
3700000
3700001
3700400
3700401
3700402
3700403
Endosc manip uretc calc w
ureterosc
Endoscopic diathermy of ureter
Endosc extr ureteric calc via
ureterosc
Endoscopic insertion urethral
prosthesis
Endoscopic insertion of urethral
stent
Endosc div intraluminal bladder
adhes
Endoscopic destruction of penile
wart
Endoscopic replacement of
ureteric stent
Endosc inc pelviuret jnct/uretc
strictr
Endoscopic ureteric meatotomy
Endoscopic biopsy of bladder
Endosc dest bladder lsn / tiss <=
2 cm
Endosc destruction of lesion of
prostate
Endosc lasr dest blader lsn tiss <=
2 cm
Endosc resection of lesion of
prostate
Endosc resec lsn / tiss bladder <=
2 cm
Endosc lavage blood clots from
bladder
Endosc dest single lesion bladder
> 2 cm
Endosc dest of multiple lesions
bladder
Endosc laser dest mult lesions
bladder
Endosc laser dest sgl lsn bladder
> 2 cm
Endosc resec single lsn bladder >
2 cm
Endosc resection mult lesions
bladder
Endoscopic resection of
ureterocele
Endosc admin of agt into bladder
wall
Endoscopic incision of bladder
neck
Endosc incision ext urethral
sphincter
Endoscopic resection of bladder
neck
Endosc resection ext urethral
sphincter
Endoscopic manip/extr ureteric
calculus
Laparoscopic partial excision
bladder
Partial excision of bladder
Laparoscopic repair ruptured
bladder
Other laparoscopic repair bladder
NEC
Other repair of bladder
Repair of ruptured bladder
3700800
3700801
3700802
3700803
3700804
3700805
3700806
3701400
3702000
3702001
3702300
3702301
3702900
3702901
3703800
3703801
3704300
3704400
3704401
3704402
3704403
3704500
3704700
3704701
3705000
3705300
3705301
3720003
3720004
3720005
3720100
3720300
3720302
3720303
3720304
3720305
3720306
3720700
3720701
3720900
3721000
3721100
Laparoscopic cystotomy
[cystostomy]
Cystotomy [cystostomy]
Laparoscopic cystolithotomy
Cystolithotomy
Lap removal foreign body from
bladder
Removal of foreign body of
bladder
Division intraluminal bladder
adhesions
Total excision of bladder
Lap excision bladder diverticulum
Excision of bladder diverticulum
Lap closure cutaneous vesical
fistula
Closure of cutaneous vesical
fistula
Lap closure vesicovaginal fistula
Abdominal closure vesicovaginal
fistula
Lap closure of vesicointestinal
fistula
Closure of vesicointestinal fistula
Transvaginl needle suspnsn stress
incont
Retropubic proc male stress
incontinence
Retropubic proc for female stress
incont
Rev retropubic proc female stress
incont
Rev retropubic proc, male stress
incont
Formation of continent valve
Lap enlargement bladder
Enlargement of bladder
Closure of bladder exstrophy
Lap bladder transect & re-anstms
trigone
Bladder transect & re-anstms to
trigone
Suprapubic prostatectomy
Retropubic prostatectomy
Other open prostatectomy
Transurethral needle ablation
prostate
Transurethral resection of prostate
Trnsureth electrl vaporisation
prostate
Cryoablation of prostate
Microwave thermotherapy of
prostate
High intensity focused u/s
prostate
Other closed prostatectomy
Endoscopic laser ablation of
prostate
Endoscopic laser excision of
prostate
Radical prostatectomy
Rad prostatectomy w bladder neck
recon
Rad prostectomy w recon,
3721200
3721201
3721202
3722100
3722300
3722301
3730600
3730900
3731802
3731803
3732100
3732400
3732401
3732402
3732700
3733300
3733600
3733900
3733901
3734000
3734200
3734500
3734800
3735400
3737500
3738100
3738400
3738700
3739000
3739001
3739002
3739300
3739301
3739600
3740200
3740500
3740800
3740801
3741100
3741500
3741700
lymphadenectomy
Biopsy of prostate
Drainage of abscess of prostate
Incision of prostate
Endoscopic drainage abscess of
prostate
Ins prostatic stent/coil, u/s control
Insertion prostatic stent/coil,
visual
Rep laceration/rupture dstl sect
urethra
Rep lacr/rupt prostatic memb seg
urethra
Endosc frag/extr urethral calculus
Endosc laser frag/extr ureth
calculus
External urethral meatotomy
External urethrotomy
Internal urethrotomy
External urethrostomy
Optical urethrotomy
Closure of urethrovaginal fistula
Closure of urethrorectal fistula
Inj/o paraurethral bulk, female
incont
Inj/o para-urethral bulk, male
incont
Div ureth slg foll stres incont proc
Urethroplasty - single stage
procedure
Urethroplasty, staged proc, first
stg
Urethroplasty, staged proc,
second stg
Meatotomy & hemicircumcisn f
hypospadias
Reconstruction of urethral
sphincter
Perineal ins cuff of artf urin
sphincter
Abdo ins cuff of artf urinary
sphincter
Insertion artificial urinary
sphincter
Revision of artificial urinary
sphincter
Replacement artificial urin
sphincter
Removal of artificial urinary
sphincter
Decomp priapism, stab
cavrnspgsum shunt
Decomp priapism by penile
aspiration
Shunt procedure for priapism
Partial amputation of penis
Complete amputation of penis
Repair laceration cavernous tissue
penis
Repair fracture inv cavernous tis
penis
Repair of avulsion of penis
Administration of agent into penis
Correction of chordee of penis
3741701
3741800
3741801
3742000
3742300
3742600
3742601
3742900
3743200
3743201
3743202
3743500
3744400
3744401
3760100
3760101
3760102
3760103
3760404
3760405
3760406
3760407
3760408
3760700
3761000
3761300
3761301
3761600
3761601
3761602
3761603
3761900
3761901
3761902
3761903
3780000
3780300
3780301
3780900
3780901
Correction of chordee of penis w
graft
Cor chordee penis w mobilisn of
urethra
Cor chordee penis w gft/mobilisn
urethra
Ligation vein inhibit rapid penile
drain
Lengthening penis, translocation
corpora
Ins artf erection device
noninflatable
Insertion artf erection dev
inflatable
Ins pmp & press reg resv, artf
erect dev
Partial revision artificial erection
dev
Complete revision artf erection
dev
R/O components artf erect dev wo
replace
Fraenuloplasty of penis
Lap ureterolithotomy, prev surg
ureter
Ureterolithotomy, prev surg same
ureter
Excision of spermatocele,
unilateral
Excision of spermatocele, bilateral
Excision of epididymal cyst,
unilateral
Excision of epididymal cyst,
bilateral
Expl scrotal contents fix testis, uni
Expl scrotal contents fix testis, bil
Incision of testis
Refixation of testis, unilateral
Refixation of testis, bilateral
Radical excision retrpertnl lymph
nodes
Radical exc retrpertnl lymph node
subsqt
Epididymectomy, unilateral
Epididymectomy, bilateral
Microsurgical vasovasostomy,
unilateral
Microsurgical vasovasostomy,
bilateral
Microsurgical
vasoepididymostomy, uni
Microsurgical
vasoepididymostomy, bil
Vasovasostomy, unilateral
Vasovasostomy, bilateral
Vasoepididymostomy, unilateral
Vasoepididymostomy, bilateral
Excision of patent urachus
Orchidopexy for undescended
testis, uni
Orchidopexy for undescended
testis, bil
Rev orchidopexy for undscd testis,
uni
Rev orchidopexy for undscd testis,
3781200
3781800
3782100
3782400
3782700
3783000
3783300
3783600
3783900
3784200
3784201
3784202
3784203
3784500
3784800
3785100
3827000
3827001
3827002
3827003
3827802
3827803
3828100
3828111
3828112
3828114
3828401
3828402
3828700
3829000
3841800
3841801
3841802
3841804
3842100
3842101
3842400
3842401
bil
Exploration groin for impalpable
testis
Glanuloplasty for hypospadias
Distal hypospadias, single stage
repair
Proximal hypospadias single stage
repair
Hypospadias, staged repair, first
stage
Hypospadias, staged repair,
second stage
Hypospadias rep postop urethral
fistula
Epispadias, staged repair, first
stage
Epispadias, staged repair, second
stage
Epispadias, secondary repair
Epispadias, sec repair, ureteric reimpl
Secondary repair exstrophy of
bladder
Sec rep exstrophy bladder, uretc
re-impl
Rdctn clitoroplasty ambiguous
genitalia
Rdctn clitorply & vaginply ambig
gen
Vaginoplasty for congenital
condition
Percutaneous atrial septostomy
Perc balloon aortic valvuloplasty
Perc balloon mitral valvuloplasty
Perc balloon pulmonary
valvuloplasty
Perc R/O single cham perm
electrode
Removal single chamber perm
electrode
Insertion of chamber pacemaker,
NEC
Removal perm single chamber
pacemaker
Removal permanent dual chamber
pacemaker
R/O permanent triple chamber
pacemaker
Perc removal dual chamber perm
electrode
Removal of dual chamber perm
electrode
Abltn arrhythmia circuit/fcs atrial
cham
Abltn arhythma circuit/fcs bth atrl
cham
Exploratory thoracotomy
Biopsy of pleura
Biopsy of lung
Incision of lung
Endoscopic pulmonary
decortication
Pulmonary decortication
Pleurectomy
Enucleation of pulmonary hydatid
3842402
3842700
3843000
3843001
3843600
3843601
3843602
3843800
3843801
3843802
3843803
3844000
3844001
3844100
3844101
3844600
3844601
3844602
3844603
3844700
3844701
3844800
3844801
3844802
3845000
3845001
3845002
3845003
3845200
3845300
3845302
3845304
3845305
3845306
3845307
3845308
3845600
3845601
3845602
cyst
Pleurodesis
Thoracoplasty, complete
Thoracoplasty, staged, 1st stage
Thoracoplasty staged
2nd/subsequent stg
Thoracoscopy
Endoscopic division of pleural
adhesions
Thoracoscopic biopsy of
pericardium
Segmental resection of lung
Lobectomy of lung
Pneumonectomy
Removal donor lung for
transplantation
Wedge resection of lung
Radical wedge resection of lung
Radical lobectomy
Radical pneumonectomy
Removal of thymus via
thoracotomy
Removal of thymus via
sternotomy
R/O lesion mediastinum via
thoracotomy
R/O lesion mediastinum via
sternotomy
Pericardiectomy, subtotal or
complete
Thoracoscopic pericardiectomy
Exploration mediastinum v
cervical route
Mediastinoscopy
Removal of thymus via cervical
route
Transthoracic drainage of
pericardium
Thoracoscopic drainage of
pericardium
Biopsy pericardium, transthoracic
appr
Biopsy pericardium, subxyphoid
approach
Subxyphoid drainage of
pericardium
Resection endotracheal lesion w
anstms
Resection of endotracheal lesion w
graft
Resec endotracheal stricture w
anstms
Laser resec endotrachl stricture
anstms
Resection endotracheal stricture w
graft
Laser resec endotrachl stricture w
gft
Repair trachea, intrathoracic
approach
Other intrathoracic proc on heart
wo CPB
Open valvotomy of pulmonary
valve
Oth proc on lung & pleura
3845603
3845604
3845605
3845606
3845607
3845608
3845610
3845611
3845612
3845613
3845614
3845615
3845616
3845617
3845618
3845619
3845620
3845700
3845701
3845800
3846000
3846400
3846600
3847000
3847300
3847500
3847501
3847502
3847700
3847701
3847702
3848000
3848001
3848002
3848100
3848101
3848102
3848300
3848500
intrathor appr
Oth intrathor proc ch
wall/mediast/diaph
Other proc bronchus, intrathoracic
appr
Excision of lesion of pericardium
Thoracoscopic exc lesion
pericardium
Adjust of trnsven elec for
pacemaker
Removal of temporary electrode
Open valvotomy of aortic valve
Open valvotomy of tricuspid valve
Other intrathoracic proc septum
wo CPB
Other intrathor proc on atrium wo
CPB
Oth intrathor proc ventricle hrt wo
CPB
Oth intrathor proc aortic valve wo
CPB
Oth intrathor proc mitral valve wo
CPB
Oth intrathor proc tricuspid valv
wo CPB
Oth intrathor proc pulmonary valv
wo CPB
Oth intrathor proc arteries heart
wo CPB
Other intrathoracic proc on
oesophagus
Repair of pectus carinatum
Repair of pectus excavatum
Rep pectus excavatum w impl sbc
prosth
Removal of sternal wire
Debridement of sternotomy wound
Reop sternum inv reopening
mediastinum
Ins perm epicardl elec
thorctmy/sterntmy
Ins perm epicardial elec
subxyphoid appr
Mitral valve annuloplasty
Tricuspid valve annuloplasty
Aortic valve annuloplasty
Mitral valve annuloplasty w ring
ins
Tricuspid valve annuloplasty w
ring ins
Aortic valve annuloplasty w ring
ins
Repair of aortic valve, 1 leaflet
Repair of mitral valve, 1 leaflet
Repair of tricuspid valve, 1 leaflet
Repair of aortic valve, >= 2
leaflets
Repair of mitral valve, >= 2
leaflets
Repair of tricuspid valve, >= 2
leaflets
Decalcification of aortic valve
leaflet
Reconstruction of mitral valve
annulus
3848501
3848700
3848800
3848801
3848802
3848803
3848804
3848805
3848806
3848807
3848900
3848901
3848902
3848903
3848904
3848905
3849000
3849300
3849700
3849701
3849702
3849703
3849704
3849705
3849706
3849707
3850000
3850001
3850002
3850003
3850004
3850300
3850301
3850302
3850303
Decalcification of mitral valve
Open valvotomy of mitral valve
Replace aortic valve w mech
prosthesis
Replace aortic valve w
bioprosthesis
Replace mitral valve w mech
prosthesis
Replacement of mitral valve w
bioprosth
Replace tricuspid valve w mech
prosth
Replacement tricuspid valve w
bioprosth
Replace pulmonary valve w mech
prosth
Replacement pulmonary valve w
bioprosth
Replacement of aortic valve w
homograft
Replace aortic valv w unstentd
heterogft
Replacement of mitral valve w
homograft
Replacement tricuspid valve w
homograft
Replacement pulmonary valve w
homograft
Replace pulm valve w unstentd
heterogft
Recon & reimplantation
subvalvular str
Mgmt endocarditis in heart valve
proc
Coron art byps using 1 saph vein
graft
Coron art byps using 2 saph vein
grafts
Coron art byps using 3 saph vein
grafts
Coron art byps usg >= 4 saph
vein grafts
Coron art byps usg 1 other venous
graft
Coron art byps usg 2 other venous
grafts
Coron art byps usg 3 other venous
grafts
Coron art byps usg >= 4 oth ven
grafts
Coronary artery bypass, using 1
LIMA gft
Coronary artery bypass, using 1
RIMA gft
Coron artery bypass usg 1 radial
art gft
Coron art byps usg 1 epigastric art
gft
Coron art byps usg 1 other arterial
gft
Coronary artery bypass, >= 2
LIMA gft
Coronary artery bypass, >= 2
RIMA gft
Coron artery bypass >= 2 radial
art gft
Coron art byps >= 2 epigastric art
3850304
3850500
3850700
3850800
3850900
3851200
3851500
3851800
3852101
3852102
3852103
3852104
3852105
3852106
3852107
3852108
3852109
3852110
3852400
3852401
3852402
3852403
3855000
3855001
3855300
3855301
3855302
3855303
3855600
3855601
3855602
3855603
3855900
3855901
3856200
gft
Coron art byps usg >= 2 oth
arterial gft
Open coronary endarterectomy
Left ventricular aneurysmectomy
L ventricular aneurysmectomy w
ptch gft
Repair of ventricular septal
rupture
Division acc pathway inv 1 atrial
cham
Div acc pathways inv both atrial
cham
Ventricular muscle ablation
Insertion patches for automatic
defib
Perc ins defib elec for automatic
defib
Ins defib elec for automatic defib
Adjust electrodes for auto
defibrillator
Replace of patches for automatic
defib
Replacement electrodes for auto
defib
Removal of patches for automatic
defib
Perc removal elec for automatic
defib
Removal of electrodes for auto
defib
Perc replace of elec for automatic
defib
Insertion automatic defib
generator
Removal automatic defib
generator
Adjustment of automatic defib
generator
Replacement of automatic defib
generator
Repair of ascending thoracic aorta
Replacement ascending thoracic
aorta
Rep asc thoracic aorta w rep aortic
valv
Rep asc thor aorta w replace aort
valve
Replace asc thor aorta w rep aort
valve
Replace asc thor aorta & aortic
valve
Rep asc aorta & aort valv impl
coron art
Rep aorta replace valv & impl
coron art
Replace aorta, rep valv & impl
coron art
Replace asc aorta, valv & impl
coron art
Repair aortic arch & asc thoracic
aorta
Replace aortic arch & asc thor
aorta
Rep aort arch, asc aorta & aortic
valve
3856201
3856202
3856203
3856500
3856501
3856502
3856503
3856800
3856801
3857100
3857101
3857200
3860600
3860900
3861200
3861300
3861500
3861501
3861800
3862100
3862101
3862400
3862700
3863700
3864000
3864700
3865000
3865001
3865002
3865003
3865300
3865301
3865302
3865303
3865304
3865305
Rep aort arch, asc aorta w replace
valve
Replace asc & arch aorta w valve
repair
Replace aortic arch, asc thor &
valve
Rep arch, asc aorta, valv & impl
art
Rep arch, asc aorta, valv replace
& impl
Replace aorta & arch rep valv &
impl art
Replace aorta, arch, valve w impl
art
Repair of descending thoracic
aorta
Replacement descending thoracic
aorta
Repair descending thoracic aorta
w shunt
Replace descending thor aorta w
shunt
Op mgmt ac rupture/dissect thor
aorta
Perc insertion intra-aortic balloon
pump
Ins intra-aortic balloon pmp
arteriotomy
Removal of intra-aortic balloon
pump
R/O intraotc balln pmp ptch gft cls
art
Insertion left ventricular asst
device
Insertion right ventricular asst dev
Ins left & right ventricular asst dev
Removal left ventricular asst
device
Removal right ventricular asst
device
R/O left & right ventricular asst
dev
Adjust cannula ventricular asst
dev
Reop for recon coronary artery
graft
Re-operation for other cardiac
proc, NEC
Division of thoracic adhesions
Cardiac myotomy
Cardiac myectomy
Opn chest transmyocardial
revascularsatn
Other transmyocardial
revascularisation
Other intrathoracic proc on heart
w CPB
Other intrathor proc on atrium w
CPB
Oth intrathor proc ventricle hrt w
CPB
Other intrathoracic proc on
septum w CPB
Oth intrathor proc on aortic valve
w CPB
Other intrathor proc mitral valve w
3865306
3865307
3865308
3865601
3867000
3867300
3867301
3867700
3868000
3870000
3870001
3870002
3870003
3870600
3870601
3871200
3871500
3871501
3871502
3872101
3872700
3872701
3873300
3873301
3873900
3874200
3874202
3874500
3874800
3874801
3875100
3875102
3875400
3875401
3875700
3875701
3875702
3876000
3876001
CPB
Oth intrathor proc tricuspid valve
w CPB
Oth intrathor proc pulmonary
valve w CPB
Oth intrathor proc arteries heart w
CPB
Reopn of thoracotomy or
sternotomy site
Exc lsn atrial wall/interatrial
septum
Exc lsn atrl wal/interatrl sept ptch
gft
Exc lsn atrl wal/interatrl sept w
cndt
Partial thck exc ventricular
myocardium
FT exc ventricular myocardm w
rep/recon
Perc closure of patent ductus
arteriosus
Closure of patent ductus
arteriosus
Perc closure cardiac collateral
vessel
Closure of cardiac collateral vessel
Repair of aorta
Repair of aorta with anastomosis
Repair of aortic interruption
Banding of main pulmonary artery
Debanding of main pulmonary
artery
Other repair of main pulmonary
artery
Rep vena cava by direct
anastomosis
Repair of intrathoracic vessels
Repair intrathoracic vessels w
anstms
Creation of systemic pulmonary
shunt
Creation of cavopulmonary shunt
Atrial septectomy or septostomy
Perc closure of atrial septal defect
Closure of atrial septal defect
Intra-atrial transposition venous
return
Ventricular septectomy
Perc transluminal myocrdl septal
abltn
Percutaneous closure VSD
Closure of ventricular septal defect
Intraventricular baffle procedure
Creation of intraventricular
conduit
Creat extrcardc cndt R ventrl &
pulm art
Creat extrcardc cndt, L ventrl &
aorta
Creat extrcardc cndt atrium &
pulm art
Replace conduit b R ventrl & pulm
art
Replace extrcardc cndt, L ventrl &
aorta
3876002
3876300
3876301
3876600
3876601
3901200
3901500
3901501
3901502
3910600
3910900
3910901
3910902
3911200
3911500
3912100
3912400
3912401
3912402
3912501
3912600
3912601
3912700
3912800
3913000
3913001
3913300
3913400
3913600
3913900
3913901
3930000
3930300
3930600
3930900
3931200
3931500
3931800
3932100
3932300
3932301
Replace extrcardc cndt atrium &
pulm art
Left ventricular myectomy
Right ventricular myectomy
Left ventricular augmentation
Right ventricular augmentation
Burr holes
Insertion of external ventricular
drain
Insertion of ventricular reservoir
Ins ICP monitoring device w
monitoring
Division of intrcran trigeminal
nerve
Trigeminal gangliotomy by
radiofrequency
Trigeminal gangliotomy by balloon
comprs
Trigeminal gangliotomy by
injection
Intracranial decomp of other
cranial nrv
Perc neurotomy of prim rami of
spin nrv
Functional spinal stereotactic
procedure
Cordotomy
Myelotomy
Dorsal root entry zone [DREZ]
procedure
Revision of spinal catheter
Rev of implantable spinal infus
device
Rev of implantable spinal infusion
pump
Ins implantable spinal infusion
device
Ins of implantable spinal infusion
pump
Perc insertion of epidural
electrodes
Perc ins epdl elec w impl spinal
nrstim
Removal of spinal neurostimulator
device
Sbc impl spinal nrstim dev/recr
Removal of epidural electrodes
Ins epidural electrodes by
laminectomy
Ins epdl elec by laminctmy w impl
nrstim
Primary repair of nerve
Secondary repair of nerve
Primary repair of nerve trunk
Secondary repair of nerve trunk
Opn neurolysis interfascr perph
nrv trnk
Nerve graft to nerve trunk
Nerve graft
Transposition of nerve
Other perc neurotomy by
radiofrequency
Other perc neurotomy by
cryoprobe
3932400
3932401
3932402
3932700
3932701
3932702
3933000
3933001
3933100
3933101
3933300
3950000
3950300
3950301
3960000
3960300
3960301
3960600
3960601
3960900
3960901
3960902
3961200
3961201
3961500
3961501
3964000
3964200
3964600
3965000
3965300
3965800
3966002
3966202
3970000
3970300
3970301
3970302
Neurectomy of superficial perph
nerve
Open neurotomy of superficial
perph nrv
R/O lsn from superficial perph
nerve
Neurectomy of deep peripheral
nerve
Open neurotomy of deep
peripheral nerve
R/O lsn from deep peripheral
nerve
Open neurolysis of peripheral
nerve, NEC
Release of tarsal tunnel
Endoscopic release of carpal
tunnel
Release of carpal tunnel
Exploration of brachial plexus
Intracranial section of vestibular
nerve
Anastomosis of faciohypoglossal
nerve
Anastomosis of facio-accessory
nerve
Drainage of intracranial
haemorrhage
R/O intrcran haemtma v osteoplc
crniotmy
Removal intrcran haematoma w
crniectmy
Elevation of closed skull fracture
Reduction of closed skull fracture
Debridement of compound skull
fracture
Elevation of compound skull
fracture
Reduction of compound skull
fracture
Elev cmpd skull fx w repair dura &
brain
Rdctn cmpd skull fx w rep dura &
brain
Repair of dura of brain via
craniotomy
Repair dura brain v crniotmy w
crnioply
Removal lesion inv ant cranial
fossa
R/O lsn ant cran fsa w clr paransl
sinus
R/O lsn ant cran fsa & clr sinus &
fsa
R/O lsn mid cran & infratemporal
fossae
R/O lesion of petroclivus and
clivus
Excision of lesion of clivus
Exc lesion of cavernous sinus
Excision of lesion of foramen
magnum
Excision of lesion of skull
Biopsy of brain via burr holes
Drainage of intracranial lesion or
cyst
Bx of cerebral meninges via burr
3970600
3970601
3970602
3970900
3970901
3970902
3971200
3971201
3971202
3971203
3971204
3971500
3971501
3971502
3971503
3971800
3972100
3980000
3980001
3980300
3980600
3981200
3981500
3981800
3982100
3990000
3990300
3990600
4000000
4000300
4000301
4000302
4000303
4000304
4000600
4000900
4000901
4000902
4000903
4000904
4000905
4001200
holes
Bx of brain via osteoplastic
craniotomy
Decomp intrcran tum v osteoplc
crniotmy
Bx cerebral meninges, osteoplc
crniotmy
Removal of lesion of cerebrum
Removal of lesion of brain stem
Removal of lesion of cerebellum
Removal of lesion of cerebral
meninges
Removal of lesion of pineal body
Removal of craniopharyngioma
Removal of intraventricular lesion
Removal of other intracranial
lesion
Prt exc pituitary gland, trnscran
appr
Prt exc pituitary gland, trnsphndl
appr
Tot exc pituitary gland, trnscran
appr
Tot exc pituitary gland, transphndl
appr
Removal of brain cyst
Postop reopn of
crniotmy/crniectmy site
Clipping of cerebral aneurysm
Reinforcement of cerebral
aneurysm
Exc intrcran arteriovenous
malformation
Clipping of intracranial proximal
artery
Ligtn cerv vessel for intrcran
aneurysm
Obliteration carotid cavernous
fistula
Extrcran to intrcran byps w tmpl
art gft
Extrcran to intrcran byps w saph
graft
Drainage of intracranial infection
Removal of intracranial abscess
Craniectomy for infection of skull
Ventriculocisternostomy
Insertion of ventriculo-atrial shunt
Insertion of ventriculopleural
shunt
Insertion of ventriculoperitoneal
shunt
Ins ventric shunt to oth extrcran
site
Insertion of cisternal shunt
Insertion of spinal shunt
Revision of ventricular shunt
Revision of cisternal shunt
Revision of spinal shunt
Removal of ventricular shunt
Removal of cisternal shunt
Removal of spinal shunt
Endoscopic third ventriculostomy
4001201
4001500
4010000
4010300
4010600
4010601
4010900
4011200
4011500
4011800
4030000
4030001
4030300
4030301
4030900
4031200
4031500
4031600
4031800
4031801
4033000
4033001
4033100
4033200
4033300
4033301
4033400
4033500
4033900
4034200
4034500
4034800
4035100
4060000
4060001
4060002
4060003
4070000
4070300
4070301
4070302
4070600
4070900
4070901
4071200
Third ventriculostomy
Subtemporal decompression
Repair of spinal meningocele
Repair of myelomeningocele
Hind brain decompression
Posterior cranial fossa
decompression
Repair of encephalocele
Release congenital tethered spinal
cord
Procedure for craniostenosis, 1
suture
Proc for craniostenosis, >= 2
sutures
Discectomy, 1 level
Discectomy, >= 2 levels
Discectomy for rec disc lesion, l lvl
Discectomy for rec disc lesion, >=
2 lvl
Removal of spinal extradural
lesion
Removal of spinal intradural lesion
Proc lsn craniocervl jnct transoral
appr
Odontoid screw fixation
Exc spinal arteriovenous
malformation
Removal of spinal intramedullary
lesion
Spinal rhizolysis
Spinal rhizolysis with laminectomy
Decomp of cervical spinal cord, 1
level
Decomp cerv spin cord w ant
fusion 1 lvl
Cervical discectomy, 1 level
Cervical discectomy, >= 2 levels
Decomp cervical spinal cord >=2
levels
Decomp cervical spin cord w fus
>= 2 lvl
Plugging of obex
Ins CSF shunt w laminctmy
Decomp thor spin cord v
costotrnsvrsecty
Decomp thoracic spin cord v
thoracotomy
Ant decomp thoracolumbar spinal
cord
Cranioplasty w insertion of skull
plate
Cranioplasty with bone graft
Cranioplasty with skull flap
Other cranioplasty
Anterior section of corpus
callosum
Corticectomy of brain
Topectomy
Partial lobectomy of brain
Hemispherectomy
Plcmt intrcran elec v bur holes
R/O intrcran elec v burr holes
Plcmt intrcran elec v crniotmy
4071201
4080100
4080300
4090300
4090301
4151200
4152100
4152101
4152700
4153000
4153300
4153301
4153302
4153600
4153601
4153900
4154200
4154500
4154800
4155100
4155400
4155700
4155701
4155702
4155703
4156000
4156001
4156300
4156301
4156400
4156401
4156600
4156601
4156602
4156900
4157200
4157500
4158100
4158400
4158401
R/O intrcran elec v craniotomy
Functional intrcran stereotactic
proc
Intracranial stereotactic
localisation
Neuroendoscopy
Biopsy of brain via
neuroendoscopy
Reconstruction external auditory
canal
Correction of auditory canal
stenosis
Cor auditory canal stenosis w skin
gft
Myringoplasty, transcanal
approach
Myringoplasty postaural or
endaural appr
Atticotomy
Myringoplasty with atticotomy
Other incision of middle ear
Atticotomy w reconstruction bony
defect
Atticotomy w recon bony dfct &
myrgoply
Ossicular chain reconstruction
Myringoplasty w ossicular chain
recon
Mastoidectomy
Obliteration of mastoid cavity
Mstdecty, intact canal wall w
myrgoply
Mastoidectomy w myringoplasty &
OCR
Modified radical mastoidectomy
Radical mastoidectomy
Implantation electromagnetic
hearing dev
Incision of mastoid
Modified rad mastoidectomy w
myrgoply
Radical mastoidectomy w
myringoplasty
Modfd rad mstdecty myringoplasty
& OCR
Rad mastoidectomy w
myringoplasty & OCR
Modfd rad mstdecty w oblit &
closure
Rad mstdecty w oblit & closure
Rev intact canal wall tech
mastoidectomy
Revision modified radical
mastoidectomy
Revision of radical mastoidectomy
Intracranial decomp of facial nerve
Labyrinthotomy
R/O lesion of cerebellopontine
angle
R/O lesion inv infratemporal fossa
Prt resec temporal bne w
mastoidectomy
Prt resec tmpl bne mstdecty
decomp nrv
4158700
4159000
4159001
4159300
4159600
4159601
4159602
4159900
4160800
4161100
4161400
4161401
4161402
4161500
4161700
4161701
4162000
4162300
4162900
4163200
4163201
4163500
4163501
4163800
4163801
4164100
4164400
4164401
4167100
4167101
4167102
4167103
4167200
4167400
4167402
4168000
4168600
4168601
4168900
Total resection of temporal bone
Decompression of endolymphatic
sac
Decompression endolymphatic sac
w shunt
Vestibular nerve section trnslbrnth
appr
Vestibular nrv section retrolbrnth
appr
Cochlear nerve section, retrolbrnth
appr
Vestib & cchlr nrv sect retrolbrnth
appr
Expl int auditory meat w decomp
cran nrv
Stapedectomy
Mobilisation of ossicles
Closure of round window fistula
Closure of oval window fistula
Repair of round window
Repair of oval window
Implantation cochlear prosthetic
device
Removal of cochlear prosthetic
device
R/O lesion of glomus,
transtympanic appr
R/O lsn glomus trnsmstd appr w
mstdecty
Exploration of middle ear
Myringotomy w insertion of tube,
uni
Myringotomy w insertion of tube,
bil
Excision of lesion of middle ear
Exc lesion middle ear w
myringoplasty
Excision of lesion middle ear &
OCR
Exc lesion mid ear w
myringoplasty & OCR
Cauterisation perforated tympanic
memb
Excision rim perforated tympanic
memb
Other excision of middle ear
Submucous resection of nasal
septum
Closure of perforation of nasal
septum
Septoplasty
Septoplasty, submucous resec
nasal sept
Reconstruction of nasal septum
Cauterisation/diathermy nasal
turbinates
Cauterisation or diathermy of
pharynx
Arrest nasal haemorrhage by
cryotherapy
Surgical fracture nasal turbinates,
uni
Surgical fracture nasal turbinates,
bil
Partial turbinectomy, unilateral
4168901
4168902
4168903
4169200
4169201
4169500
4170700
4171000
4171001
4171300
4171301
4171603
4171604
4171606
4172200
4172500
4173100
4173101
4173400
4173700
4173701
4173702
4173703
4173704
4173705
4173706
4173709
4174000
4174300
4174600
4174900
4175200
4175201
4175202
4175203
4175800
4176700
4177000
4177001
4177300
4177600
4177601
Partial turbinectomy, bilateral
Total turbinectomy, unilateral
Total turbinectomy, bilateral
Submucous resection turbinate
unilateral
Submucous resection turbinate,
bilateral
Turbinectomy by cryotherapy
Interruption of maxillary artery
Radical maxillary antrostomy,
unilateral
Radical maxillary antrostomy,
bilateral
Rad max antrostmy transantral
ethmdectmy
Rad max antrostmy trnsantl vidn
neurecty
Intranasal R/O polyp, maxillary
antrum
Other intranasal proc maxillary
antrum
Excision of lesion of maxillary
antrum
Closure of oro-antral fistula
Interruption of ethmoidal artery
Ethmoidectomy, frontonasal
approach
Ethmoidectmy sphendectmy
frntonasal appr
Radical ethmoidectomy,
osteoplastic flap
Other intranasal proc on frontal
sinus
Other intranasal proc on ethmoidal
sinus
Ethmoidectomy, unilateral
Ethmoidectomy, bilateral
Ethmoidotomy
Intranasal R/O polyp from frontal
sinus
Intranasal R/O polyp fm ethmoidal
sinus
Frontal sinusectomy
Catheterisation of frontal sinus
Trephining frontal sinus
Radical obliteration of frontal sinus
External procedure on ethmoidal
sinus
Other intranasal proc sphenoidal
sinus
Sphenoidectomy
Sphenoidotomy
Intranasal R/O polyp, sphenoidal
sinus
Division of pharyngeal adhesions
R/O lesion nasophrynx trnspltl
appr
Removal of pharyngeal pouch
Cricopharyngeal myotomy R/O
phrngl pouch
Endoscopic resection pharyngeal
pouch
Cricopharyngeal myotomy
Cricophrngl myotomy invrsn
4177900
4177901
4178200
4178500
4178501
4178600
4178601
4178700
4178701
4178702
4178900
4178901
4179700
4180100
4180400
4180401
4180700
4181000
4181001
4181300
4181301
4183400
4183700
4184000
4184300
4184301
4185200
4186100
4186400
4186700
4186701
4186800
4187300
4187600
4187601
4187602
4187901
4187902
4187903
4187904
4187906
4188301
4188302
phrngl pouch
Pharyngotomy
Total excision of tongue
Partial pharyngectomy
Partial pharyngectomy w part
glossectomy
Partial pharyngectomy, total
glossectomy
Uvulopalatopharyngoplasty
Uvulopalatopharyngoplasty,
tonsillectomy
Uvulectomy with partial
palatectomy
Uvulectomy, prt palatectomy
tonsilectmy
Revision uvulectomy
Tonsillectomy without
adenoidectomy
Tonsillectomy with adenoidectomy
Arrest haemorrhage following T &
A
Adenoidectomy without
tonsillectomy
Removal of lingual tonsil
Removal of lateral pharyngeal
bands
Incision & drain peritonsillar
abscess
Uvulotomy
Uvulectomy
Removal of vallecular cyst
Removal of pharyngeal cyst
Total laryngectomy
Hemilaryngectomy
Supraglottic laryngectomy
Laryngopharyngectomy
Restor alimentary foll
laryngophryngecty
Laryngoscopy with removal of
lesion
Microlaryngoscopy R/O lesion by
laser
Microlaryngoscopy w R/O lesion
Microlaryngoscopy with
arytenoidectomy
Re-operation arytenoidectomy
Div laryngeal web
microlaryngoscpc tech
Repair of laryngeal fracture
Laryngofissure
Laryngofissure with vocal
cordectomy
Laryngoplasty
Suture of laceration of trachea
Closure of external fistula of
trachea
Closure of other fistula of trachea
Repair of trachea, cervical
approach
Recon trachea & recon artificial
larynx
Open tracheostomy, permanent
Revision of tracheostomy
4188601
4188602
4189200
4189201
4190500
4190501
4190700
4191000
4250600
4250601
4250900
4251000
4251200
4251500
4251800
4251801
4251802
4251803
4252100
4252101
4252102
4252400
4252700
4253000
4253001
4253002
4253300
4253301
4253600
4253601
4253602
4253603
4253604
4253605
4253900
4253901
4254200
4254201
Removal of laryngeal stent
Removal of tracheal stent
Bronchoscopy with biopsy
Bronchoscopy with excision of
lesion
Insertion of tracheal stent
Replacement of tracheal stent
Insertion of nasal septal button
Transposition duct major salivary
gland
Enucleation of eyeball without
implant
Enucleation of eyeball w sphere
implant
Enucleation eyeball w integrated
implant
Enucleation eyeball w apatite
implant
Evisceration of eyeball without
implant
Evisceration of eyeball w ins
implant
Insertion cartilaginous orbital
implant
Ins artf implant to anophthalmic
orbit
Plcmt motility integ peg into orbit
impl
Removal of orbital implant
Ins wired in conformer t anopthmc
socket
Ins artificial orbital integrtd
implant
Repair anopthmc socket w
dermofat graft
Skin graft to anopthmc orbit, sec
proc
Revision of anophthalmic socket
Expl orbitotomy req R/O & replace
bone
Expl orbitotomy w Bx, R/O &
replace bone
Repair of wound of orbit
Exploratory orbitotomy
Exploratory orbitotomy with
biopsy
Exenteration of orbit
Exenteration of orbit with skin
graft
Exent orbit w temporalis musc
transplant
Exent orbit w skin graft & musc
trnsplnt
Exent orbit w R/O adjacent
structures
Exent orbit with thrpc R/O orbital
bone
Orbitomy w exc lesion R/O &
replace bone
Expl orbitomy w R/O FB R/O &
replace bne
Expl orbitomy anterior aspect w
exc lsn
Expl orbitomy anterior aspect w
R/O FB
4254300
4254301
4254500
4254501
4254800
4255100
4255101
4255102
4255400
4255700
4256000
4256300
4256600
4256900
4257200
4257201
4257300
4257400
4257500
4257800
4258100
4258101
4258400
4258700
4258701
4258702
4258703
4258704
4258705
4259000
4259001
4259300
4259301
4259600
4259601
4259603
4259900
4259901
4260200
4260201
Expl orbitomy retrobulbar aspt w
exc lsn
Expl orbitomy retrobulbar aspt w
R/O FB
Orbitomy decomp orbit fenest >=
2 walls
Orbitotomy, decompression orbit
R/O fat
Incision of optic nerve meninges
Rep perf eyeball wound w sut
cornea lacr
Rep perf eyeball wound w sut
sclera lacr
Rep perf eyebal wnd sut cornea &
sclera
Rep perf eyeball wound inv uveal
tissue
Rep perf eyeball wound inv
lens/vitreous
Magnetic R/O intra-ocular FB ant
segment
Nonmagnetic R/O intraocul FB ant
segment
Magnetic R/O intraocular FB post
segment
Nonmagnetic R/O intraocular FB
post seg
Drainage of orbital abscess
Drainage of orbital cyst
Exc periorbit dermoid ant t orbit
septum
Exc orbital dermoid post t orbit
septum
Excision of cyst of tarsal plate
Excision of cartilage of tarsal plate
Cauterisation of ectropion
Cauterisation of entropion
Tarsorrhaphy
Correction trichiasis by cryothrpy
1 eye
Correction trichiasis by cryothrpy,
eyes
Correction of trichiasis by laser, 1
eye
Correction trichiasis by laser, 2
eyes
Correction trichiasis electrolysis 1
eye
Correction trichiasis electrolysis,
eyes
Lateral canthoplasty
Medial canthoplasty
Excision of lacrimal gland
Incision of lacrimal gland
Incision of lacrimal sac
Excision of lacrimal sac
Other incision of lacrimal passages
Clsd proc est patency lacm canalr,
eye
Clsd proc est patency lacm canalr
eyes
Opn proc est patency lacm canalr,
eye
Opn proc est patency lacm canalr,
eyes
4260500
4260501
4260800
4260801
4261400
4261401
4261402
4261500
4261501
4261502
4261700
4262000
4262200
4262300
4262600
4262900
4263200
4263201
4263202
4263500
4263800
4264100
4264101
4264400
4264401
4264402
4264403
4264404
4264405
4264700
4265000
4265300
4265601
4265600
4265900
4266200
4266500
4266700
9006401
Repair of lacrimal canaliculus
Excision of lacrimal passages
Ins oth nasolacrm tube
lacm/conjnct sac
Ins glas nasolacrm tube
lacm/conjnct sac
Replace nasolacrimal tube,
unilateral
Probing lacrimal passages,
unilateral
Removal nasolacrimal tube,
unilateral
Replace nasolacrimal tube,
bilateral
Probing of lacrimal passages,
bilateral
Removal nasolacrimal tube,
bilateral
Incision of lacrimal punctum
Occlusion of lacrimal punctum by
plug
Occlusion lacm punctum by
cautery
Dacryocystorhinostomy [DCR]
Reop dacryocystorhinostomy
second/subsqt
Conjunctivodacryocystorhinostomy
[CDCR]
Repair corneal lacr by conjunctival
flap
Incision of conjunctiva
Repair of laceration of conjunctiva
Repair of corneal perforation by
sealing
Conjunctival flap over cornea
Mucous membrane graft to
conjunctiva
Autoconjunctival transplant
Incision of cornea
Removal embedded FB cornea by
magnet
Removal of embedded FB from
sclera
Removal embedded FB from
conjunctiva
Removal embedded FB from
cornea
Incision of sclera
Partial keratectomy
Epithelial debridement of cornea
Full thickness transplantation of
cornea
Reoperation keratoplasty, second
proc
Reop keratoplasty,
third/subsequent proc
Superficial transplantation of
cornea
Full thickness transplantation of
sclera
Superficial transplantation of
sclera
Manipulation of running corneal
suture
Refractive keratoplasty
9006402
4267200
4267201
4267600
4267700
4267701
4268000
4268001
4268300
4268600
4268900
4269200
4269201
4269500
4269501
4269800
4269801
4269802
4269803
4269804
4269805
4270100
4270101
4270200
4270201
4270202
4270203
4270204
4270205
4270206
4270207
4270208
4270209
4270210
4270211
4270300
4270400
4270401
4270700
4271000
4271300
Refractive keratoplasty by laser
Inc cornea for cor surg ind
astgmtsm
Inc cornea w comprs sut cor ind
astgmtsm
Biopsy of conjunctiva
Cauterisation of conjunctiva
Thermocauterisation of cornea
Cryotherapy of conjunctiva
Cryotherapy of cornea
Excision lesion or tissue of
conjunctiva
Excision of pterygium
Excision of pinguecula
Excision of lesion of limbus
Biopsy of cornea
Excision lesion of limbus w
keratectomy
Excision lesion of limbus w
sclerectomy
Intracapsular extr crystalline lens
Extracapsular lens extr by aspr
tech
Phacoemulsification & aspr
cataract
Phacofragmtn & aspiration
cataract
Oth extracapsular extr, crystalline
lens
Other extraction of crystalline lens
Insertion of foldable artificial lens
Insertion of other artificial lens
Intracapsular lens extr w IOL,
foldable
Intracapsular lens extr w IOL,
other
Extracapsular lens extr by aspr
IOL fold
Extracapsular lens extr by aspr
IOL oth
Phacoem & aspr cataract w IOL
foldable
Phacoem & aspr cataract w IOL
other
Phacofragmtn & aspr cataract w
IOL, fold
Phacofragmtn & aspr cataract w
IOL other
Oth extrcpslr lens extr w IOL,
foldable
Oth extracapsular lens extr w IOL,
other
Other extraction lens with IOL,
foldable
Other extraction lens w IOL, other
Ins artf lens post cham, sut iris
sclera
Removal of artificial lens
Repositioning of artificial lens
Replacement of artificial lens
Replace artf lens by post cham ins
& sut
Repositioning artificial lens w sut
lens
4271600
4271900
4271901
4271902
4272200
4272201
4272500
4273100
4273101
4273400
4273700
4274000
4274001
4274002
4274003
4274004
4274005
4274300
4274600
4274601
4274602
4274603
4274604
4274605
4274900
4275200
4275500
4275800
4276100
4276101
4276102
4276400
4276401
4276402
4276403
4276404
4276700
4277000
4277300
4277301
4277600
4277900
Removal of juvenile cataract
Capsulectomy of lens
Removal of vitreous, anterior
approach
Mechanical fragmentation sec
membrane
Capsulectomy lens by post cham
sclerotmy
R/O vitreous w division of vitreal
bands
R/O vitr & preretnl memb w div
vitrl bnd
Capsulectmy lens by sclerotmy w
R/O vitr
Extr lens post cham sclerotmy w
R/O vitr
Capsulotomy of lens
Needling of posterior capsule of
lens
Diagnostic aspiration of aqueous
humor
Diagnostic aspiration of vitreous
Admin therapeutic agt into ant
chamber
Admin therapeutic agt in post
chamber
Therapeutic aspiration aqueous
humor
Therapeutic aspiration of vitreous
Irrigation of anterior chamber
Mgmt postop hypotony/fistula
tampnd dev
Iridencleisis or iridotasis
Trephination of sclera with
iridectomy
Thermocauterisation sclera w
iridectomy
Trabeculectomy
Other filtering proc for glaucoma
NEC
Revision of scleral fistulisation
proc
Insertion of aqueous shunt for
glaucoma
Removal of aqueous shunt for
glaucoma
Goniotomy
Division of anterior synechiae
Division of posterior synechiae
Division of corneovitreal adhesions
Iridotomy
Biopsy of iris
Sphincterotomy of iris
Iridoplasty
Iridectomy
Excision of lesion of ciliary body
Destruction of ciliary body
Repair retinal detachment by
diathermy
Repair retinal detachment by
cryotherapy
Repair retinal detach w scleral
buckling
Revision prev retinal detachment
4278200
4278500
4278501
4278800
4279100
4279101
4279102
4279400
4279700
4279701
4279702
4280000
4280300
4280600
4280700
4280800
4280900
4280901
4281000
4281200
4281500
4281800
4281801
1837001
4283300
4283301
4283302
4283303
4283600
4283601
4283900
4283901
4283902
4283903
4284200
4284201
4284500
4284501
proc
Trabeculoplasty by laser
Iridotomy by laser
Iridoplasty by laser
Capsulotomy of lens by laser
Intracameral laser lysis, vitreous
humor
Intracameral laser lysis of fibrin
Corticolysis of lens material by
laser
Laser div scleral sut foll
trabeculoply
Coagulation scleral blood vesl by
laser
Coagulation corneal blood vesl by
laser
Destruction of cornea by laser
Removal of pterygium by laser
Destruction of pinguecula by laser
Destruction of lesion of iris by
laser
Laser photomydriasis
Laser photoiridosyneresis
Destruction retina by
photocoagulation
Repair retinal detach w
photocoagulation
Phototherapeutic keratectomy
[PTK]
R/O surg impl material, post
segment eye
Removal of silicone oil
Cryotherapy of retina w external
probe
Cryotherapy of ciliary body w ext
probe
Admin botulinum toxin for
strabismus
Strabismus proc inv 1 or 2
muscles 1 eye
Strabismus proc inv 1 or 2 musc,
2 eyes
Reop strabms 1 / 2 musc 1 eye
2nd proc
Reop strabms 1 / 2 musc bth eye
2nd proc
Reop strabms 1 / 2 musc eye
third/subsqt
Reop strabms 1 or 2 musc eyes
3rd/subsqt
Strabismus proc inv >= 3
muscles, 1 eye
Strabismus proc inv >= 3
muscles, 2 eyes
Reop strabms >= 3 musc 1 eye,
2nd proc
Reop strabms >= 3 musc 2 eyes,
2nd proc
Reop strabms >= 3 musc 1 eye
3rd/subsqt
Reop strabms >= 3 musc 2 eyes
3rd/subsqt
Readjt sut foll prev strabms surg 1
eye
Readjt sut foll prev strabms surg 2
4284800
4284801
4285100
4285400
4285401
4285700
4285701
4286000
4286001
4286002
4286003
4286300
4286600
4286601
4286900
4287200
4380100
4380700
4381000
4381001
4381602
4383702
4384300
4384301
4384302
4385200
4385500
4386400
4386401
4386700
4386701
4387000
4387300
4387301
4387302
4387600
4387900
4388200
eyes
Muscle transplant for strabismus
Reop musc trnsplnt f strabms
second proc
Reop musc trnsplnt strabms
third/subsqt
Repair of ruptured extraocular
muscle
Repair of medial palpebral
ligament
Resut op wound foll prev intraocul
proc
Resut op wnd foll prev proc w exc
iris
Gft upp eyelid w recesn lid retrac
1 eye
Gft upp eyelid w recesn lid retrac
eyes
Gft low eyelid w recesn lid retrac 1
eye
Gft low eyelid w recesn lid retrac
eyes
Recession of eyelid
Rep ect/entropion by rep infer
retrac
Rep ect/entropion oth rep infer
retrac
Insertion of implant into eyelid
Elevation of eyebrow for paretic
state
Correction of malrotation of
intestine
Duodenoduodenostomy
Rep sm intestine w sgl anstms
Rep sm intestine w mult anstms
Other repair of large intestine
Rep diaph hernia w flap/ins patch
Repair of oesophageal atresia
Rep oesoph atresia dstl
trachoesph fist
Rep oesoph atrs prx/mult
trachoesph fist
Closure trachoesph fistula v
thoracotomy
Delayed prim anstms oesophageal
atresia
Prim repair gastroschisis involving
skin
Prim rep gastroschisis inv sk musc
fasc
Creation prosth pouch for
gastroschisis
Sec stg proc gastschisis w R/O
prosth
Repair of exomphalos, minor
Repair of exomphalos, major
Creation prosthetic pouch for
exomphalos
Delay cls exomphalos foll creat
pouch
Exc sacrococcygeal teratoma, post
appr
Exc sacrcocygl teratoma post &
abdo appr
Prim rep cloacal exstrophy [abdo
4388201
4390000
4390300
4390600
4390601
4390900
4391200
4391201
4391500
4393000
4394200
4394500
4394800
4396300
4396600
4396900
4396901
4397200
4397500
4397800
4398700
4398701
4398702
4399301
4432500
4432501
4432800
4432801
4432802
4433100
4433400
4433800
4435800
4436100
4436101
4436400
4436401
4436700
4436701
4436702
4437000
4437300
4437600
dfct]
Secondary repair of cloacal
exstrophy
Closure of tracheo-oesophageal
fistula
Replace oesophagus usg intestine,
paed
Partial resec oesophagus w
anstms paed
Total resec oesophagus w anstms,
paed
Aortopexy
Excision bronchogenic cyst v
thoracotomy
Repair of intestinal duplication
Plication of diaphragm
Pyloromyotomy
Excision epithelial remnant at
umbilicus
Excision patent vitello intestinal
duct
Excision of umbilical granuloma
Anorectoplasty via perineal
approach
Anorectoplasty via laparotomy
Tot rep persist cloaca via perinl
appr
Tot rep persist cloaca via
laparotomy
Resec choledochal cyst w CBD
anstms
Resec choledochl cyst heptc duct
anstms
Portoenterostomy
Excision of intrathoracic
neuroblastoma
Excision intra-abdominal
neuroblastoma
Excision of neuroblastoma, NEC
Definitive intest resec and p-t
anstms
Midcarpal amputation
Transmetacarpal amputation
Amputation through forearm
Amputation through arm
Disarticulation through wrist
Disarticulation at shoulder
Interscapulothoracic amputation
Amputation of toe
Amputation toe including
metatarsal bone
Disarticulation through ankle
Amputatn ankle thru malleoli tib &
fib
Midtarsal amputation
Transmetatarsal amputation
Amputation above knee
Disarticulation at knee
Amputation below knee
Amputation at hip
Hindquarter amputation
Reamputation of amputation
stump
4500300
4500600
4500900
4501200
4501500
4501501
4501800
4501801
4501802
4501803
4502100
4502101
4502400
4502500
4502501
4502502
4502600
4502701
4503301
4503302
4503303
4503304
4503305
4503306
4503600
4503900
4504200
4504500
4504501
4504502
4504503
4504504
4504505
4504506
4504507
4504508
4505100
4505101
4505400
4520000
4520300
4520600
4520601
Simple and small local
myocutaneous flap
Large myocutaneous flap
Simple and small local muscle flap
Large muscle flap
Delay of muscle flap
Delay of myocutaneous flap
Dermis graft
Dermofat graft
Fat graft
Fascia graft
Abrasive thrpy, 1 aesthetic area,
face
Abrasive therapy to other site
Abrasive thrpy >= 2 aesthc areas,
face
CO2 laser resurfacing to neck
CO2 laser resurf 1 aesthetic area,
face
CO2 laser resurfacing to other site
CO2 laser resurf >=2 aesthc
areas, face
Admin of agent into vascular
anomaly
Excision vascular anomaly parotid
gland
Excision vascular anomaly floor of
mouth
Excision of vascular anomaly of
tongue
Exc vascular anomaly facial
muscle/nerve
Excision of vascular anomaly of
breast
Excision vascular anomaly oth site
Excision of vascular anomaly of
neck
Excision of AVM of other site <=
3cm
Excision of AVM of other site >
3cms
Excision of AVM of eyelid
Excision of AVM of nose
Excision of AVM of lip
Excision of AVM of ear
Excision of AVM of neck
Excision of AVM of hand
Excision of AVM of thumb
Excision of AVM of finger
Excision of AVM of genitals
Facial contour reconstruction w
implant
Other contour reconstruction w
implant
Escharotomy
Simple & small local skin flap, oth
site
Complicated/large local sk flap
any site
Simple & small local skin flap of
eyelid
Simple and small local skin flap of
nose
4520602
4520603
4520604
4520605
4520606
4520607
4520608
4520609
4520610
4520611
4520900
4521200
4521500
4521800
4522100
4522400
4522700
4523000
4523001
4523300
4523301
4523600
4523900
4523901
4523902
4540000
4540001
4540300
4540301
4540600
4540900
4541200
4541500
4541800
4543900
4544200
4544500
Simple and small local skin flap of
lip
Simple and small local skin flap of
ear
Simple and small local skin flap of
neck
Simple and small local skin flap of
hand
Simple & small local skin flap of
thumb
Simple & small local skin flap of
finger
Simple & small local skin flap,
genitals
Simp & sm loc sk flp of oth areas
of fce
Simple and small local skin flap of
foot
Simple and small local skin flap of
toe
Large dir distant skin flap, first
stage
Large dir distant skin flap second
stage
Cross leg dir distant sk flap 1st
stage
Cross leg dir distant sk flap, 2nd
stage
Small dir distant skin flap, first
stage
Small dir distant skin flap second
stage
Indir distant sk flap frm tubed
pedicle
Delay of direct distant skin flap
Delay of indirect distant skin flap
Indir dist skin flap, intermediate
site
Indirect distant skin flap, final site
Indir dist sk flap spread tubed
pedicle
Revision of local skin flap
Revision of direct distant skin flap
Revision of indirect distant skin
flap
Split skin graft of sm granulating
area
SSG sm granulating brn sit < 3%
BSA gftd
SSG of extsv granulating area
SSG extsv granu brn site >= 3%
BSA gftd
SSG to burn other sites inv < 3%
BSA gft
SSG brn oth sit inv >= 3% & <
6% BSA gft
SSG brn oth sit inv >= 6% & <
9% BSA gft
SSG brn oth sit inv >= 9% & <
12%BSA gft
SSG brn oth sit inv >= 12% <
15% BSA gft
Small split skin graft of other site
Extensive split skin graft of any
site
Split skin graft as an inlay graft
4544800
4544801
4544802
4544803
4544804
4544805
4544806
4544807
4544808
4544809
4544810
4544811
4545100
4545101
4545102
4545103
4545104
4545105
4545106
4545107
4545108
4545109
4545110
4545111
4545112
4545113
4545114
4545115
4545116
4545117
4545118
4545119
4545120
4545121
4545122
4545123
4545124
4545125
4545126
4545127
4546000
4546400
4546800
4547100
4547400
Small split skin graft of eyelid
Small split skin graft of nose
Small split skin graft of lip
Small split skin graft of ear
Small split skin graft of neck
Small split skin graft of hand
Small split skin graft of thumb
Small split skin graft of finger
Small split skin graft of genitals
Small SSG of other areas of face
Small split skin graft of foot
Small split skin graft of toe
Full thickness skin graft of eyelid
Full thickness skin graft of nose
Full thickness skin graft of lip
Full thickness skin graft of ear
Full thickness skin graft of neck
Full thickness skin graft of hand
Full thickness skin graft of thumb
Full thickness skin graft of finger
Full thickness skin graft of genitals
Full thickness skin graft of other
site
Full thickness skin gft to burn,
eyelid
Full thickness skin graft to burn,
nose
Full thickness skin graft to burn of
lip
Full thickness skin graft to burn of
ear
Full thickness skin graft to burn,
neck
Full thickness skin graft to burn,
hand
Full thickness skin graft to burn,
thumb
Full thickness skin gft to burn,
finger
Full thickness skin gft to burn,
genital
Full thickness skin gft to burn oth
site
FT sk graft to burn, other areas of
face
FT skin graft to burn of whole face
FT skin graft to burn of foot
Full thickness skin graft to burn of
toe
FT skin graft of other areas of face
Full thickness skin graft of whole
face
Full thickness skin graft of foot
Full thickness skin graft of toe
SSG brn oth sit inv >= 15% <
20% BSA gft
SSG brn oth sit inv >= 20% <
30% BSA gft
SSG brn oth sit inv >= 30% <
40% BSA gft
SSG brn oth sit inv >= 40% <
50% BSA gft
SSG brn oth sit inv >= 50% <
4547700
4548000
4548300
4548500
4548501
4548502
4548503
4548504
4548600
4548601
4548602
4548603
4548700
4548800
4548801
4549400
4549600
4549700
4549800
4549900
4550600
4550601
4551200
4551201
4551500
4551501
4551800
4551900
4552100
4552101
4552102
4552103
4552104
4552105
4552400
4552700
4552701
4552800
4553000
4553001
4553300
60% BSA gft
SSG brn oth sit inv >= 60% <
70% BSA gft
SSG brn oth sit inv >= 70% <
80% BSA gft
SSG brn oth site inv >= 80% BSA
gft
Split skin graft to burn of eyelid
Split skin graft to burn of nose
Split skin graft to burn of lip
Split skin graft to burn of ear
Split skin graft to burn of hand
Split skin graft to burn of neck
Split skin graft to burn of genitals
SSG to burn of other areas of face
Split skin graft to burn of foot
Split skin graft to burn of toe
Split skin graft to burn of finger
Split skin graft to burn of thumb
Split skin graft to burn of whole
face
Open revision of free tissue flap
Compl rev free tissue flap,
liposuction
Rev free tissue flap liposuction,
stg 1
Rev free tissue flap liposuction,
stg 2
Revision scar face <= 3cm in
length
Revision scar neck <= 3cm in
length
Revision scar face > 3cm in length
Revision scar neck > 3cm in
length
Revision scar of other site <= 7cm
Release of contracture of SSCT
Revision scar of other site > 7cm
Revision of burn scar/contracture
Reduction mammoplasty,
unilateral
Reduction mammoplasty, bilateral
Reduct mammoply w nipple
reposition uni
Rdctn mammoply w nipple
reposition bil
Rdctn mammoplasty w recon
nipple, uni
Reduction mammoplasty w recon
nipple bil
Augmentation mammoplasty,
unilateral
Aug mammoply foll mastectomy
uni
Aug mammoply foll mastectomy
bil
Augmentation mammoplasty,
bilateral
Recon breast using myocutaneous
flap
Reconstruction breast usg omental
flap
Recon brst using sharing tech first
stg
4553600
4553900
4554200
4554500
4554501
4554502
4554600
4554800
4554801
4555100
4555200
4555400
4555500
4555600
4556300
4556301
4556600
4557200
4557500
4557800
4558100
4558101
4558400
4558700
4558701
4558800
4558801
4559000
4559001
4559300
4559301
4559302
4559303
4559600
4559700
4559900
4560200
4560201
4560500
4560501
4560800
4560801
Recon breast usg brst share tech
second
Recon breast w insertion tissue
expander
R/O breast tis expand & ins perm
prosth
Reconstruction of nipple
Reconstruction of areola
Reconstruction of nipple and
areola
Intraderm colour skin for
nipple/areola
Removal of breast prosthesis
Removal of breast tissue expander
R/O breast prosth w exc fibrous
capsule
R/O & replace breast prosth w exc
capsl
R/O & replace breast prosth w frm
pckt
R/O silicone brst & replace oth
prosth
Mastopexy
Island flap with vascular pedicle
Island flap with neurovascular
pedicle
Insertion of tissue expander
Intraop insertion of tissue
expander
Fascia graft for facial nerve
paralysis
Muscle transfer for facial nrv
paralysis
Excision tissue for facial nrv
paralysis
Exc tis, facial nrv paralysis w
suspnsn
Liposuction
Facelift, unilateral
Browlift, unilateral
Facelift, bilateral
Browlift, bilateral
Reconstruction of orbital cavity
Reconstruction orbital cavity w
implant
Reconstruction orbit cavity w cart
graft
Recon orbital cavity w impl & cart
graft
Reconstruction orbital cavity w
bone gft
Recon orbital cavity w impl & bone
graft
Total resection of one maxilla
Total resection of both maxillae
Total resection both sides of
mandible
Subtotal resection of mandible
Subtotal resection of maxilla
Partial resection of mandible
Partial resection of maxilla
Reconstruction of mandibular
condyle
Partial reconstruction of mandible
4560802
4560803
4560804
4561100
4561400
4561401
4561700
4562000
4562300
4562301
4562302
4562303
4562304
4562305
4562400
4562401
4562402
4562403
4562404
4562405
4562500
4562600
4562601
4562900
4563200
4563500
4563800
4564100
4564101
4564102
4564400
4564401
4564402
4564500
4564600
4564700
4564701
4564702
4565000
4565600
Subtotal reconstruction of
mandible
Total reconstruction of mandible
Recon mandible by osseous
distraction
Mandibular condylectomy
Reconstruction of eyelid
Tarsal strip procedure
Reduction of upper eyelid
Reduction of lower eyelid
Cor ptosis, frtalis musc tech w
suture
Cor ptosis frtalis musc tech w fasc
slg
Cor ptosis resec / advance levator
musc
Cor ptosis by oth levator muscle
tech
Correction of ptosis by tarsal
technique
Correction of ptosis by other
techniques
Reop ptosis eyelid by musc tech w
sut
Reop ptosis eyelid by musc tech w
sling
Reop ptosis eyelid, resect/advance
musc
Reop ptosis eyelid by oth musc
tech
Reop ptosis eyelid by tarsal tech
Reop ptosis eyelid by other tech
Rev sutures foll prev cor
blepharoptosis
Correction ectropion/entropion by
suture
Cor ectropion/entropion w wedge
resect
Graft for symblepharon
Rhinoplasty inv correction of
cartilage
Rhinoplasty inv correction of bony
vault
Total rhinoplasty
Rhinoplasty usg nasal/septal cart
graft
Rhinoplasty using nasal bone graft
Rhinoplasty usg nasal bne & cart
graft
Rhinoplasty, cart graft dist donor
site
Rhinoplasty usg bne gft dist donor
site
Rhinoplasty usg bne & cart gft dist
don
Closed repair of choanal atresia
Open repair of choanal atresia
Facial contour restoration usg
bone gft
Facial contour restoration usg cart
gft
Facial contour restor, bone & cart
graft
Revision of rhinoplasty
Composite graft to nose
4565601
4565602
4565603
4565900
4565901
4566000
4566100
4566200
4566500
4566501
4566502
4566800
4567100
4567101
4567400
4567401
4567500
4567501
4567600
4567700
4568000
4568300
4568600
4568900
4568901
4569200
4569500
4569800
4570100
4570400
4570700
4571000
4571300
4571400
4571401
4571600
4571601
4572000
4572001
4572002
4572003
4572300
4572301
4572302
Composite graft to ear
Composite graft to eyelid
Composite graft to other site
Correction of bat ear
Oth correction of external ear
deformity
Reconstruction of ext ear, first
stage
Reconstruction of ext ear, second
stage
Recon ext auditory canal, cong
atresia
Full thickness wedge excision of lip
Full thickness wedge excision of
eyelid
Full thickness wedge excision of
ear
Vermilionectomy
Recon lip using flap sgl / first
stage
Reconstruction eyelid, flap sgl/1st
stg
Reconstruction lip usg flap second
stage
Recon eyelid usg flap, second stg
Reduction of lip size
Reduction of tongue size
Other repair of mouth
Primary repair of cleft lip,
unilateral
Prim repair uni cleft lip & ant
palate
Primary repair of cleft lip, bilateral
Prim repair bil cleft lip & ant
palate
Lip adhesion proc for cleft lip, uni
Lip adhesion proc for cleft lip, bil
Partial revision of cleft lip
Total revision of cleft lip
Prim columella lengthening, cleft
lip
Recon cleft lip usg flap sgl / first
stg
Recon cleft lip usg flp second stg
Primary repair of cleft palate
Sec rep cleft palate, cls fist usg
flap
Sec repair cleft palate, lengthen
proc
Closure of oronasal fistula
Closure of other nasal fistula
Pharyngoplasty
Pharyngeal flap
Osteotomy of mandible, unilateral
Osteotomy of maxilla, unilateral
Ostectomy of mandible, unilateral
Ostectomy of maxilla, unilateral
Osteotomy mandible with IF,
unilateral
Osteotomy maxilla with IF,
unilateral
Ostectomy mandible with IF,
unilateral
4572303
4572600
4572601
4572602
4572603
4572900
4572901
4572902
4572903
4573100
4573101
4573200
4573201
4573500
4573800
4574100
4574400
4574700
4575200
4575300
4575400
4575500
4575800
4576100
4576101
4576700
4576701
4577000
4577300
4577600
4577900
4578200
4578201
4578202
4578500
4578501
4578502
4578503
Ostectomy maxilla with IF,
unilateral
Osteotomy of mandible, bilateral
Osteotomy of maxilla, bilateral
Ostectomy of mandible, bilateral
Ostectomy of maxilla, bilateral
Osteotomy mandible with IF,
bilateral
Osteotomy maxilla with IF,
bilateral
Ostectomy mandible with IF,
bilateral
Ostectomy maxilla with IF,
bilateral
Osteo/ostectomies mandible <= 3
proc
Osteo/ostectomies maxilla <= 3
proc
<= 3 Osteo/ostectomies mandible
w IF
<= 3 Osteo/ostectomies maxilla w
IF
4 Osteo/ostectomies mandible &
maxilla
4 Osteo/ostectomies mand &
maxilla w IF
5 Osteo/ostectomies mandible &
maxilla
5 Osteo/ostectomies mand &
maxilla w IF
>=6 Osteo/ostectomies mandible
& maxilla
>= 6 Osteo/ostectomies mand &
max w IF
Midfacial osteotomies
Midfacial osteotomies with IF
Temporomandibular
meniscectomy
Arthroplasty, temporomandibular
joint
Reduction genioplasty
Augmentation genioplasty
Intracranial correction of
hypertelorism
Intrcran cor hypertelorism w
LeFort III
Subcranial correction of
hypertelorism
Periorbital cor Treacher Collins
synd
Intracranial correction orbital
dystopia
Subcranial correction, orbital
dystopia
Frontal advancement, unilateral
Frntl advance w prt orbit advance
uni
Frntl advance w tot orbital
advance uni
Frontal advancement, bilateral
Frntl advance w prt orbital
advance bil
Frntl advance w tot orbital
advance, bil
Total cranial vault reconstruction
4578800
4579100
4579400
4579401
4579402
4579403
4579404
4579405
4579406
4579407
4579700
4579701
4579702
4579703
4579704
4579705
4579706
4630000
4630001
4630300
4630600
4630601
4630700
4630701
4630900
4630901
4631200
4631201
4631500
4631501
4631800
4631801
4632100
4632101
4632400
4632700
4632701
4633000
Recon glenoid fsa, zygo arch &
tmpl bone
Construct absent condyle &
ascend ramus
OI impl titanium fixture, atchmt
BAHA
OI impl Ti fixture, atchmt prosth
ear
OI impl Ti fixture atchmt prosth
orbit
OI impl Ti fix atchmt prosth nose
prt
OI impl Ti fix atchmt prosth nose
total
OI impl Ti fixture atchmt prosth
limb
OI impl Ti fixture atchmt prosth
digit
OI impl Ti fixture replace jt of digit
OI, fix trnscut abtmt for atchmt
BAHA
OI, fix trnscut abtmt atchmt
prosth ear
OI fix trnscut abtmt atchmt prosth
orbit
OI trnscut abtmt atchmt prosth
nose prt
OI trnscut abtmt atchmt prosth
nose tot
OI fix trnscut abtmt atchmt prosth
limb
OI fix trnscut abtmt atchmt prosth
digit
Arthrodesis interphalangeal joint,
hand
Arthrodesis metacarpophalangeal
joint
Arthrodesis of carpometacarpal
joint
Interposition arthroplasty of IPJ
hand
Interposition arthroplasty of MCP
joint
Volar plate arthroplasty of IPJ
hand
Volar plate arthroplasty of MCP
joint
Arthroplasty of IPJ hand, 1 joint
Arthroplasty of MCP joint, 1 joint
Arthroplasty of IPJ hand, 2 joints
Arthroplasty of MCP joint, 2 joints
Arthroplasty of IPJ hand, 3 joints
Arthroplasty of MCP joint, 3 joints
Arthroplasty of IPJ hand, 4 joints
Arthroplasty of MCP joint, 4 joints
Arthroplasty of IPJ hand, >= 5
joints
Arthroplasty of MCP joint, >= 5
joints
Arthroplasty of carpal bone
Arthrotomy interphalangeal joint
of hand
Arthrotomy of
metacarpophalangeal joint
Repair ligament or capsule of IPJ
hand
4633001
4633300
4633301
4633600
4633601
4633602
4633603
4633604
4633605
4633900
4634200
4634201
4634500
4634800
4635100
4635400
4635700
4636000
4636300
4636600
4636900
4637200
4637500
4637800
4638100
4638400
4638700
4639000
4639300
4639600
4639601
4639602
4639603
4639900
4639901
4639902
Repair ligament or capsule of MCP
joint
Rep ligmt/capsule IPJ hand w
gft/implant
Rep ligmt/capsule MCP jt w
gft/implant
Synovectomy interphalangeal joint
hand
Synovectomy of metacarpal joint
Capsulectomy interphalangeal
joint hand
Capsulectomy
metacarpophalangeal joint
Debridement interphalangeal joint
hand
Debridement
metacarpophalangeal joint
Synovectomy flexor/extensor
tendon hand
Synovectomy of distal radio-ulnar
joint
Synovectomy of carpometacarpal
joint
Reconstruction distal radioulnar
joint
Synovectomy of flexor tendon, 1
digit
Synovectomy of flexor tendons, 2
digits
Synovectomy of flexor tendons, 3
digits
Synovectomy of flexor tendons, 4
digits
Synovectomy flexor tendons >= 5
digits
Release of tendon sheath of hand
Sbc fasciotomy Dupuytren's
contracture
Palmar fasciectomy Dupuytren's
contract
Palmar fasciectomy Dupuytren's, 1
digit
Palmar fasciectomy Dupuytren's, 2
digits
Palmr fasciectomy Dupuytren's
>= 3 dgt
Release IPJ capsule Dupuytren's
contract
Local skin flap rep Dupuytren's
contract
Rev fasciectomy for Dupuytren's 1
digit
Rev fasciectomy for Dupuytren's 2
digits
Rev fasciectomy for Dupuytren's
>= 3 dgt
Osteotomy of finger
Osteotomy of metacarpal bone
Ostectomy of finger
Ostectomy of metacarpal bone
Osteotomy finger with internal
fixation
Osteotomy of metacarpal bone
with IF
Ostectomy finger with internal
fixation
4640200
4640201
4640500
4640501
4640800
4641100
4641400
4641700
4642000
4642300
4642600
4642900
4643200
4643500
4643800
4644100
4644200
4644400
4644700
4645000
4645300
4645600
4646400
4646500
4648000
4648300
4648600
4648900
4649200
4649400
4649500
4649501
4649800
4650000
4650100
4650200
4650300
4650400
4650700
Bone graft of metacarpal bone
Bone graft of phalanx of hand
Bone graft of metacarpal bone w
IF
Bone graft of phalanx of hand w IF
Reconstruction tendon hand by
tend graft
Recon flexor tend pully hand by
tend gft
Insertion artificial tendon prosth
hand
Transfer of tendon of hand
Primary repair extensor tendon of
hand
Secondary repair extensor tendon
of hand
Prim rep flexor tendon hand prx
A1 pully
Sec rep flexor tendon hand prx A1
pulley
Prim rep flexor tend hand dstl A1
pully
Sec rep flexor tendon hand dstl A1
pully
Closed fixation of mallet finger
Open repair of mallet finger
Opn rdctn intrartclr fx mallet
finger
Reconstruction of boutonniere
deformity
Recon boutonniere defrm rels jt
contract
Tenolysis of extensor tendon of
hand
Tenolysis of flexor tendon of hand
Percutaneous tenotomy of finger
Amputation supernumerary digit
of hand
Amputation of finger
Amputation finger incl metacarpal
bone
Revision amputation stump of
hand/finger
Primary repair of nail or nail bed
Secondary repair of nail or nail
bed
Correction contracture of digit of
hand
Excision of ganglion of hand
Excision of mucous cyst of digit of
hand
Excision ganglion distal digit of
hand
Exc ganglion flexor tendon sheath
hand
Excision of ganglion of dorsal wrist
Excision of ganglion of volar wrist
Excision recurrent ganglion dorsal
wrist
Excision recurrent ganglion, volar
wrist
Neurovasc island flp hand pulp
innervatn
Transposition digit hand on vasc
pedicle
4651000
4652200
4652500
4700600
4701200
4701201
4702100
4702101
4702700
4702701
4702702
4702703
4703300
4703301
4703900
4704500
4705100
4706000
4706600
4706601
4707200
4707201
4730001
4730301
4730600
4730601
4730900
4730901
4731201
4731501
4731800
4731801
4732100
4732101
4732401
Reduction of macrodactyly
Inc & drain flexor tendon sheath
finger
Incision & drainage of paronychia
hand
Open reduction dislocation of
clavicle
Open reduction dislocation of
shoulder
Open reduction dislocation
shoulder w IF
Open reduction of dislocation of
elbow
Open reduction dislocation elbow
w IF
Open rdctn disloc prx radioulnar jt
Open rdctn disloc prx radioulnar jt
IF
Open rdctn disloc dstl radioulnar jt
Open rdctn disloc dstl radioulnar jt
IF
Open reduction of dislocation of
carpus
Open rdctn disloc carpometacarpal
joint
Open reduction dislocation IPJ
hand
Open reduction dislocation MCP
joint
Open reduction of dislocation of
hip
Open reduction of dislocation of
patella
Open reduction of dislocation of
ankle
Open rdctn dislocation of ankle
with IF
Open reduction of dislocation of
toe
Open reduction dislocation toe
with IF
Closed rdctn fx distal phalanx
hand IF
Clsd rdctn intrartclr dstl phlx hnd
IF
Open reduction fx distal phalanx
hand
Open rdctn fx distal phalanx hand
w IF
Opn rdctn intrartclr fx dstl phlx
hand
Opn rdctn intrartclr fx dstl phlx
hnd IF
Closed rdctn fx mid phalanx hand
w IF
Clsd rdctn intrartclr fx mid phlx
hnd IF
Open rdctn fracture middle
phalanx hand
Open rdctn fx middle phalanx
hand w IF
Opn rdctn intrartclr fx middle phlx
hnd
Opn rdctn intrartclr fx mid phlx
hnd IF
Closed rdctn fx proximal phlx hand
w IF
4732701
4733000
4733001
4733300
4733301
4733601
4733901
4734200
4734201
4734500
4734501
4734801
4735100
4735101
4735401
4735700
4735701
4736302
4736303
4736600
4736601
4736602
4736603
4738102
4738103
4738400
4738401
4738402
4738403
4738502
4738503
4738600
4738601
4738602
4738603
Clsd rdctn fx prx phlx hnd IF
Open rdctn fx proximal phalanx
hand
Open rdctn fx proximal phalanx
hand IF
Opn rdctn intrartclr fx prx phlx
hand
Opn rdctn intrartclr fx prx phlx
hnd IF
Closed rdctn fracture metacarpus
w IF
Clsd rdctn intrartclr fx metacarpus
IF
Open reduction fracture of
metacarpus
Open rdctn fracture metacarpus w
IF
Opn rdctn intrartclr fx metacarpus
Opn rdctn intrartclr fx metacarpus
IF
Closed reduction fracture carpus w
IF
Open reduction of fracture of
carpus
Open rdctn fracture carpus w IF
Closed rdctn fx carpal scaphoid w
IF
Open reduction fracture carpal
scaphoid
Open rdctn fracture carpal
scaphoid IF
Closed rdctn fracture distal radius
IF
Closed rdctn fracture distal ulna w
IF
Open reduction fracture distal
radius
Open reduction fracture of distal
ulna
Open rdctn fracture distal radius w
IF
Open reduction fracture distal ulna
w IF
Closed rdctn fracture shaft radius
w IF
Closed rdctn fracture shaft ulna w
IF
Open reduction fracture shaft of
radius
Open reduction fracture of shaft of
ulna
Open rdctn fracture shaft radius w
IF
Open rdctn fracture shaft of ulna
w IF
Clsd rdctn fx shaft radius w disloc
IF
Closed rdctn fx shaft ulna w disloc
IF
Open rdctn fx shaft radius w disloc
Open rdctn fx shaft radius w disloc
IF
Open rdctn fracture shaft ulna w
disloc
Open rdctn fx shaft ulna w disloc
& IF
4739001
4739300
4739301
4739601
4739900
4739901
4740200
4740201
4740501
4740800
4740801
4742601
4742900
4742901
4743200
4743201
4745000
4745001
4745100
4745601
4745900
4745901
4746201
4746500
4746501
4746700
4746800
4746801
4748600
4748900
4748901
4749800
4750100
4751300
Closed rdctn fx shaft radius & ulna
IF
Open rdctn fracture shaft radius &
ulna
Open rdctn fx shaft radius & ulna
IF
Closed reduction fracture
olecranon w IF
Open reduction of fracture of
olecranon
Open reduction fracture olecranon
w IF
Open rdctn fx olecranon prt
ostectomy
Opn rdctn fx olecranon prt
ostectmy IF
Closed rdctn fx radial head/neck w
IF
Open rdctn fracture radial
head/neck
Open rdctn fracture radial
head/neck IF
Closed rdctn fx proximal humerus
w IF
Open reduction fracture proximal
humerus
Open rdctn fx proximal humerus w
IF
Opn rdctn intrartclr fx prx
humerus
Opn rdctn intrartclr fx prx
humerus IF
Open reduction fracture shaft of
humerus
Open reduction fracture shaft
humerus IF
Closed rdctn fx shaft of humerus
w IF
Closed rdctn fx distal humerus w
IF
Open reduction fracture distal
humerus
Open rdctn fracture distal
humerus w IF
Closed reduction fracture clavicle
w IF
Open reduction of fracture of
clavicle
Open reduction fracture clavicle w
IF
Open reduction of fracture of
sternum
Open reduction of fracture of
scapula
Open reduction fracture scapula w
IF
Open rdctn fx pelvis w IF ant
segment
Open rdctn fx pelvis w IF post
segment
Open rdctn pelvic fx IF ant & post
seg
Internal fixation fracture of
acetabulum
Open rdctn fracture acetabulum
with IF
IF of disruption of sacro-iliac joint
4751900
4752200
4752500
4752501
4752800
4752801
4753100
4753400
4753700
4754601
4754900
4754901
4755501
4755800
4755801
4756600
4756601
4756602
4756603
4757000
4757300
4758200
4758500
4758800
4758801
4759100
4760000
4760001
4760300
4760301
4760901
4760903
4761201
4761203
4761205
IF fracture trochanteric/subcapitl
femur
Hemiarthroplasty of femur
Clsd rdctn slip capital femoral
epiphys
Open rdctn slip capital femoral
epiphys
Open reduction of fracture of
femur
Open reduction fracture femur
with IF
Closed reduction fracture femur
with IF
IF intra-articular fx femoral
condyle
Internal fixation fx of femoral
condyle
Clsd rdctn fx mdl/lat tibial plate IF
Open rdctn fx mdl/lateral tibial
plate
Open rdctn fx mdl/lat tibial plate
w IF
Clsd rdctn fx mdl/lat tibial plate w
IF
Open rdctn fx mdl & lat tibial
plateau
Open rdctn fx mdl & lat tibial plate
IF
Closed rdctn fracture shaft tibia w
IF
Open rdctn fracture shaft of tibia
w IF
Clsd rdctn intrartclr fx shaft tib w
IF
Opn rdctn intrartclr fx shaft tib w
IF
Open reduction fracture shaft of
tibia
Opn rdctn intrartclr fx shaft tibia
Patellectomy w reattachment of
tendon
Internal fixation of fracture of
patella
IF fx femoral condyle repair/recon
ligmt
IF fx tibial artlr surf rep/recon
ligmt
IF fx tibl & femor cdyl rep/recon
ligmt
Clsd rdctn fx ankle IF
diats/fib/malus
Open rdctn fx ankle IF
diats/fib/malus
Clsd rdctn fx ank IF x2
diats/fib/malus
Open rdctn fx ank IF 2
diats/fib/malus
Closed reduction fracture
calcaneum w IF
Closed reduction fracture talus
with IF
Clsd rdctn intrartclr fx calcaneum
IF
Closed rdctn fx & disloc calcaneum
w IF
Closed rdctn fx & disloc talus w IF
4761207
4761500
4761501
4761502
4761503
4761504
4761505
4761506
4761507
4761800
4761801
4761802
4761803
4761804
4761805
4761806
4761807
4762101
4762400
4762401
4763000
4763001
4763601
4763900
4763901
4766301
4766600
4766601
4767201
4767202
4767203
4769000
4769300
4769600
4769900
Closed reduction intrartclr fx talus
IF
Open reduction of fracture of
calcaneum
Open reduction fracture
calcaneum w IF
Open reduction of fracture of talus
Open reduction fracture talus with
IF
Open reduction of dislocation
calcaneum
Open rdctn dislocation calcaneum
w IF
Open reduction of dislocation of
talus
Open reduction dislocation of talus
w IF
Open rdctn intra-articular fx
calcaneum
Opn rdctn intrartclr fx calcaneum
IF
Open rdctn intra-articular fx of
talus
Opn rdctn intrartclr fx of talus w
IF
Open rdctn fracture calcaneum w
disloc
Open rdctn fx calcaneum w disloc
& IF
Open reduction fracture talus w
disloc
Open rdctn fracture talus w disloc
& IF
Closed rdctn fx tarsometatarsal jt
w IF
Open rdctn fx of tarsometatarsal
joint
Open rdctn fx tarsometatarsal jt w
IF
Open reduction of fracture of
tarsus
Open reduction fracture of tarsus
w IF
Closed rdctn fx of metatarsus with
IF
Open reduction fracture of
metatarsus
Open reduction fracture
metatarsus w IF
Closed rdctn fx phalanx great toe
w IF
Open rdctn fx phalanx of great toe
Open rdctn fx phalanx of great toe
w IF
Clsd rdctn fx phlx not great toe w
IF
Open rdctn fx phalanx, not great
toe
Open rdctn fx phalanx not great
toe IF
Clsd rdctn fx/disloc spine w
immobils
Closed rdctn fx/disloc spine w cord
inv
Closed reduction fracture/disloc
spine
Open reduction fracture/disloc of
4769901
4769902
4770200
4770201
4770202
4770500
4772600
4773200
4774100
4776200
4776500
4776501
4776800
4776801
4777100
4777101
4777400
4777700
4778600
4778900
4790000
4790001
4792000
4792100
4792700
4792701
4793000
4793001
4793300
4793301
4793302
4793600
4795400
4795700
4796000
4796300
4796301
4796302
4796600
4796601
4796900
spine
Open rdctn fx/disloc spine w
simple IF
Opn rdctn fx/disloc spine
segmental IF
Open rdctn fx/disloc spine w cord
inv
Opn rdctn fx/disloc spin simp IF w
cd
Opn rdctn fx/disloc spin seg IF, cd
inv
Insertion of skull caliper
Procure bone for graft via sep
incision
Procure vascularsd pedicle of bne f
gft
Open reduction of fracture of nasal
bone
Open rdctn fx zygomatic bone
Open rdctn fx zyg bone w ex fix, 1
Open rdctn fx zyg bone w IF, 1
site
Open rdctn fx zyg bone w ext fix,
2
Open rdctn fx zyg bone w IF, 2
sites
Open rdctn fx zyg bone w ex fix, 3
Op rdctn fx zyg bone w IF, 3 sites
Open reduction of fracture of
maxilla
Open reduction of fracture of
mandible
Open rdctn fx maxilla w IF
Open rdctn fx mandible w IF
Aspiration of bone cyst
Administration of agent into bone
cyst
Insertion of bone growth
stimulator
Insertion internal fixation device
NEC
Removal of pin, screw or wire,
NEC
R/O pin, screw or wire from femur
Removal of plate, rod or nail, NEC
Removal of plate, rod or nail from
femur
Excision of exostosis of bone of
hand
Excision of exostosis of bne of foot
E/O exostosis small bone, NEC
Excision of exostosis of large bone
Repair of tendon, NEC
Lengthening of tendon, NEC
Subcutaneous tenotomy, NEC
Open tenotomy, not elsewhere
classified
Tenoplasty, not elsewhere
classified
Repair of tendon of hand, NEC
Transfer of tendon or ligament,
NEC
Transfer of muscle, NEC
Tenosynovectomy, NEC
4797200
4797500
4797501
4797800
4797801
4798100
4798101
4798102
4798200
4820000
4820300
4820600
4820900
4821200
4821500
4821800
4822100
4822400
4822700
4823000
4823300
4823600
4823900
4824200
4840000
4840001
4840002
4840003
4840004
4840005
4840300
4840301
4840302
4840303
4840600
4840601
4840602
4840603
4840604
4840605
4840606
4840607
4840608
Open procedure on tendon sheath,
NEC
Decomp fasciotmy forearm ac
cmpt synd
Decomp fasciotomy calf ac cmpt
syndrome
Decomp fasciotmy forearm chr
cmpt synd
Decomp fasciotomy calf, chr cmpt
synd
Decompression fasciotomy of
forearm
Decompression fasciotomy of calf
Decompression fasciotomy of
hand
Forage of neck and/or head of
femur
Bone graft to femur
Bone graft to femur w internal
fixation
Bone graft to tibia
Bone graft to tibia w internal
fixation
Bone graft to humerus
Bone graft to humerus internal
fixation
Bone graft to radius and ulna
Bone graft to radius & ulna with IF
Bone graft to radius or ulna
Bone graft to radius or ulna with
IF
Bone graft to scaphoid
Bone graft to scaphoid internal
fixation
Bone graft to scaphoid w IF &
osteotomy
Bone graft, not elsewhere
classified
Bone graft with internal fixation,
NEC
Osteotomy of accessory bone
Ostectomy of accessory bone
Osteotomy of metatarsal bone
Osteotomy of toe
Ostectomy of metatarsal bone
Ostectomy of toe
Osteotomy metatarsal bone with
IF
Osteotomy of toe with internal
fixation
Ostectomy metatarsal bone with
IF
Ostectomy of toe with internal
fixation
Osteotomy of fibula
Ostectomy of fibula
Osteotomy of radius
Ostectomy of radius
Osteotomy of ulna
Ostectomy of ulna
Osteotomy of clavicle
Osteotomy of scapula
Ostectomy of clavicle
4840609
4840610
4840611
4840612
4840613
4840614
4840615
4840616
4840900
4840901
4840902
4840903
4840904
4840905
4840906
4840907
4840908
4840909
4840910
4840911
4840912
4840913
4840914
4840915
4840916
4841200
4841201
4841500
4841501
4841800
4841801
4842100
4842101
4842400
4842401
4842402
4842403
4842404
4842405
4842406
4842407
4842700
4842701
Ostectomy of scapula
Osteotomy of rib
Partial ostectomy of rib
Total ostectomy of rib
Osteotomy of carpal bone
Ostectomy of carpal bone
Osteotomy of tarsal bone
Ostectomy of tarsal bone
Osteotomy fibula with internal
fixation
Ostectomy fibula with internal
fixation
Osteotomy radius with internal
fixation
Ostectomy radius with internal
fixation
Osteotomy ulna with internal
fixation
Ostectomy of ulna with internal
fixation
Osteotomy clavicle w internal
fixation
Osteotomy scapula w internal
fixation
Ostectomy clavicle w internal
fixation
Ostectomy scapula w internal
fixation
Osteotomy of rib with internal
fixation
Partial ostectomy rib, internal
fixation
Total ostectomy rib w internal
fixation
Osteotomy carpal bone, internal
fixation
Ostectomy carpal bone, internal
fixation
Osteotomy of tarsal bone with IF
Ostectomy tarsal bone, internal
fixation
Osteotomy of humerus
Ostectomy of humerus
Osteotomy humerus with internal
fixation
Ostectomy humerus with internal
fixation
Osteotomy of tibia
Ostectomy of tibia
Osteotomy tibia with internal
fixation
Ostectomy tibia with internal
fixation
Osteotomy of pelvis
Osteotomy of proximal femur
Osteotomy of mid femur
Ostectomy of pelvis
Ostectomy of proximal femur
Ostectomy of mid femur
Osteotomy of distal femur
Ostectomy of distal femur
Osteotomy pelvis with internal
fixation
Osteotomy proximal femur with IF
4842702
4842703
4842704
4842705
4842706
4842707
4850000
4850300
4850600
4850900
4851200
4863600
4863900
4863901
4864200
4864500
4864800
4865100
4865400
4865401
4865700
4865701
4866000
4866900
4867800
4868100
4868400
4868700
4869000
4890000
4890001
4890300
4890600
4890900
4891200
4891500
4891800
4892100
4892400
4892700
4893000
4893600
4893900
Osteotomy mid femur, internal
fixation
Ostectomy pelvis with internal
fixation
Ostectomy of proximal femur with
IF
Ostectomy of mid femur with IF
Osteotomy distal femur internal
fixation
Ostectomy distal femur with IF
Epiphysiodesis of femur
Epiphysiodesis of tibia and fibula
Epiphysiodesis of femur & tibia &
fibula
Epiphysiodesis, not elsewhere
classified
Epiphysiolysis
Percutaneous lumbar discectomy
Excision of vertebra
Excision of vertebra w cd inv
Posterior spinal fusion, 1 or 2
levels
Posterior spinal fusion, >= 3
levels
Posterolateral spinal fusion 1 or 2
lvl
Posterolateral spinal fusion >= 3
levels
Post spinal fusion w laminectomy
1 level
Postlateral spinal fus laminectomy
1 lvl
Post spinal fusion laminectomy >=
2 lvl
Postlateral spin fus laminctmy >=
2 lvl
Anterior spinal fusion, 1 level
Anterior spinal fusion, >= 2 levels
Simple internal fixation of spine
Nonsegmental internal fixation of
spine
Segmental IF of spine 1 or 2 levels
Segmental IF of spine 3 or 4 levels
Segmental IF of spine >= 5 levels
Excision of coraco-acromial
ligament
Excision calcium deposit, rotator
cuff
Decompression of subacromial
space
Repair of rotator cuff
Rep rotator cuff decomp subacrom
space
Arthrotomy of shoulder
Hemiarthroplasty of shoulder
Total arthroplasty of shoulder
Revision total arthroplasty of
shoulder
Rev tot arthroplasty shoulder w
bone gft
Removal of shoulder prosthesis
Stabilisation of shoulder
Synovectomy of shoulder
Arthrodesis of shoulder
4894200
4894500
4894800
4894801
4894802
4895100
4895400
4895700
4896000
4910000
4910001
4910002
4910300
4910600
4910900
4910901
4911200
4911500
4911800
4912100
4912101
4912102
4912103
4912104
4920000
4920300
4920600
4920900
4921200
4921500
4921800
4922100
4922101
4922102
4922400
4922401
4922402
4922700
4930000
4930300
4930600
4931200
4931500
4931800
4931900
Arthrodesis shoulder, removal
prosthesis
Arthroscopy of shoulder
Arthroscopic debridement of
shoulder
Arthroscopic removal loose body
shoulder
Arthroscopic chondroplasty of
shoulder
Arthro decomp subacrom space
Arthroscopic synovectomy of
shoulder
Arthroscopic stabilisation of
shoulder
Arthroscopic reconstruction of
shoulder
Arthrotomy of elbow
Removal of loose body of elbow
Release of elbow contracture
Stabilisation of elbow
Arthrodesis of elbow
Arthroscopic synovectomy of
elbow
Synovectomy of elbow
Silastic replace of radial head of
elbow
Total arthroplasty of elbow
Arthroscopy of elbow
Arthroscopic drilling of defect of
elbow
Arthroscopic removal loose body
elbow
Arthroscopic chondroplasty of
elbow
Arthroscopic osteoplasty of elbow
Arthroscopic release elbow
contracture
Arthrodesis of radiocarpal joint
Arthrodesis of intercarpal joint
Excision arthroplasty of wrist
Total arthroplasty of wrist
Arthrotomy of wrist
Reconstruction of wrist
Arthroscopy of wrist
Arthroscopic drilling of defect of
wrist
Arthroscopic removal loose body
wrist
Arthroscopic release adhesions of
wrist
Arthroscopic debridement of wrist
Arthroscopic synovectomy of wrist
Arthroscopic osteoplasty of wrist
Arthro pinning osteochondral frag
wrst
Arthrodesis of sacro-iliac joint
Arthrotomy of hip
Arthrodesis of hip
Excision arthroplasty of hip
Partial arthroplasty of hip
Total arthroplasty of hip, unilateral
Total arthroplasty of hip, bilateral
4932400
4932700
4933000
4933300
4933900
4934200
4934500
4934600
4936000
4936600
4950001
4950002
4950004
4950300
4950301
4950302
4950303
4950304
4950305
4950900
4950901
4951200
4951500
4951700
4951800
4951900
4952100
4952101
4952102
4952103
4952400
4952401
4952700
4953000
4953001
4953300
4953400
4953900
4953901
4954200
Revision of total arthroplasty of
hip
Rev tot arthroplasty hip, bne gft
acetab
Rev tot arthroplasty hip, bone gft
femur
Rev arthroply hip, bne gft acetab
& femr
Rev arthroplasty hip allogft
acetabulum
Rev arthroplasty hip w allograft
femur
Rev arthroply hip allogft acetab &
femur
Revision of partial arthroplasty of
hip
Arthroscopy of hip
Arthroscopic removal loose body
from hip
Arthrotomy of knee
Removal of loose body of knee
Release of capsule of knee
Meniscectomy of knee
Patellofemoral stabilisation
Chondroplasty of knee
Transfer tendon or ligament of
knee NEC
Patellectomy
Osteoplasty of knee
Synovectomy of knee
Arthrodesis of knee
Arthrodesis knee with removal
prosthesis
Removal of knee prosthesis
Hemiarthroplasty of knee
Total arthroplasty of knee,
unilateral
Total arthroplasty of knee,
bilateral
Tot arthroplasty knee bne gft
femur uni
Tot arthroplasty knee, bne gft
femur bil
Tot arthroplasty knee bne gft tibia
uni
Tot arthroplasty knee bone gft
tibia bil
Tot arthroply knee gft femr & tibia
uni
Tot arthroply knee gft femur &
tibia bil
Revision of total arthroplasty of
knee
Rev tot arthroplasty knee, bne gft
femur
Rev tot arthroplasty knee, bne gft
tibia
Rev tot arthroply knee, gft femr &
tibia
Tot replace arthroply
patellofemoral jt
Arthroscopic reconstruction of
knee
Reconstruction of knee
Arthro recon cruc ligmt w rep
4954201
4954500
4954800
4955100
4955400
4955700
4955702
4955800
4955801
4955802
4955900
4956000
4956001
4956002
4956003
4956100
4956101
4956102
4956200
4956201
4956202
4956300
4956600
4956900
4970000
4970301
4970302
4970303
4970304
4970305
4970600
4970602
4970603
4970900
4971200
4971500
4971800
4971801
4972400
4972401
meniscus
Recon cruciate ligmt knee w rep
meniscus
Revision arthrodesis of knee
Revision of patellofemoral
stabilisation
Revision reconstructive surgery of
knee
Rev total arthroplasty knee w
allograft
Arthroscopy of knee
Arthro exc meniscal margin/plica
knee
Arthroscopic debridement of knee
Arthroscopic chondroplasty of
knee
Arthroscopic osteoplasty of knee
Arthro chondroplasty knee w
dril/implant
Arthroscopic removal of loose
body, knee
Arthroscopic trimming ligament of
knee
Arthroscopic lateral release of
knee
Arthroscopic meniscectomy of
knee
Arthro lat release knee w
debride/plasty
Arthro meniscectomy knee,
debride/plasty
Arthro R/O loose bd knee
debride/plasty
Arthro lat rels knee chdply &
dril/impl
Arthro mensectmy knee chdply &
dril/impl
Arthro R/O los bd kne chdply &
dril/impl
Arthroscopic repair of meniscus of
knee
Arthroscopic synovectomy of knee
Quadricepsplasty of knee
Arthroscopy of ankle
Arthroscopic trimming osteophyte,
ankle
Arthroscopic removal loose body
of ankle
Arthro repair of osteochondral fx
ankle
Arthroscopic synovectomy of ankle
Arthroscopic chondroplasty of
ankle
Arthrotomy of ankle
Removal of loose body of ankle
Division of ankle contractures
Stabilisation of ankle
Arthrodesis of ankle
Total arthroplasty of ankle
Other repair of tendon of ankle
Repair of Achilles' tendon
Sec (delayed) repair of Achilles'
tendon
Reconstruction of Achilles' tendon
4972700
4980000
4980300
4980600
4980900
4980901
4981200
4981500
4981800
4982100
4982400
4982700
4983000
4983300
4983600
4983700
4983800
4983900
4984200
4984500
4984800
4984801
4985100
4985101
4985400
4985401
4985700
4986000
4986600
5010000
5010200
5010300
5010400
5010600
5010900
5011200
5011800
5012100
5012700
5013000
5020000
Lengthening of Achilles' tendon
Prim repair flexor/extensor tendon
foot
Sec repair flexor/extensor tendon
foot
Subcutaneous tenotomy of foot
Open tenotomy of foot
Open tenotomy of foot with
tenoplasty
Transfer of tendon or ligament of
foot
Triple arthrodesis of foot
Excision of calcaneal spur
Cor hallux valgus/rigidus arthroply
uni
Cor hallux valgus/rigidus
arthroply, bil
Cor hallux valgus by transfer tend
uni
Cor hallux valgus by transfer tend
bil
Cor h-valgus osteotmy 1st metarsl
uni
Cor h-valgus osteotomy 1st
metarsl bil
Cor hal val osteot metarsl trsf
tend uni
Cor hal val osteot metarsl trsf
tend bil
Arthroply valgus/rigidus w prosth
uni
Arthroplasty valgus/rigidus w
prosth bil
Arthrodesis 1st
metatarsophalangeal jt
Correction of hammer toe
Correction of claw toe
Correction hammer toe, internal
fixation
Correction claw toe w internal
fixation
Plantar fasciotomy
Plantar fasciectomy
Replacement metatarsophalangeal
joint
Synovectomy of
metatarsophalangeal jt
Neurectomy of foot
Arthroscopy joint, NEC
Arthroscopic procedure of joint,
NEC
Arthrotomy of joint, NEC
Synovectomy of joint, NEC
Joint stabilisation, NEC
Arthrodesis of joint, NEC
Division of joint contracture, NEC
Arthrodesis of subtalar joint
Trnsplnt iliopsoas tend to
trochanter
Arthroplasty of joint, NEC
Application external fixation dev
NEC
Biopsy of bone, not elsewhere
classified
5020300
5020600
5020601
5020602
5020603
5021200
5021201
5021500
5021501
5021502
5021503
5021504
5021505
5021800
5021801
5021802
5021803
5022100
5022101
5022102
5022103
5022400
5022401
5022402
5022403
5022404
5022405
5022406
5022407
5022408
5022409
5022410
5022411
5022700
5022701
5023000
Marginal excision of lesion of bone
Margnl exc lesion bone, cryothrpy
dfct
Margnl exc lesion bone w autogft
dfct
Margnl exc lesion bone w allogft
dfct
Margnl exc lesion bone cmnt
defect
En bloc resec lsn soft tis, upper
limb
En bloc resec lsn soft tis, lower
limb
En bloc lsn soft tis upp limb w
prosth
En bloc lsn soft tis upp limb w
allogft
En bloc lsn soft tis upp limb w
autogft
En bloc lsn soft tis low limb w
prosth
En bloc lsn soft tis low limb w
allogft
En bloc lsn soft tis low limb w
autogft
En bloc resec lsn upp limb
arthrodes jt
En bloc resec lsn upp limb w
replace jt
En bloc resec lsn low limb
arthrodes jt
En bloc resec lsn low limb w
replace jt
En bloc resec lsn soft tis, pelvis
En bloc resec lsn soft tis, sacrum
En bloc resec lsn soft tis, spine
En bloc resec lsn soft tis scapula
En bloc resec lsn inv sacrum usg
prosth
En bloc resec lsn inv sacrum usg
allogft
En bloc resec lsn, sacrum usg
autograft
En bloc resec lsn inv spine usg
prosth
En bloc resec lsn inv spine usg
allogft
En bloc resec lsn inv spine usg
autogft
En bloc resec lsn inv scapula usg
prosth
En bloc resec lsn inv scap usg
allogft
En bloc resec lsn inv scap usg
autogft
En bloc resec lesion pelvis usg
prosth
En bloc resec lesion pelvis usg
allogft
En bloc resec lesion pelvis usg
autogft
En bloc resec lesion bone w
allograft
En bloc resec lesion bone w
autograft
Resec lesion of bone with allograft
5030000
5030300
5030600
5030900
5031200
5032100
5032400
5032401
5032700
5033300
5033600
5033900
5034200
5034500
5035400
5035700
5035701
5035702
5036000
5036300
5036600
5036900
5037200
5037500
5037800
5038100
5038400
5038700
5038701
5038702
5039300
5039400
5039600
5039601
5039900
5040200
5040500
5041100
Transarticular fixation
Limb lengthening
Limb lengthening, bipolar
Adjustment ring fixator or similar
dev
Synovectomy of ankle
Release talipes equinovarus
unilateral
Rev release of talipes
equinovarus, uni
Rev release of talipes
equinovarus, bil
Release talipes equinovarus,
bilateral
Excision of tarsal coalition
Reconstruction congenital vertical
talus
Transfer ant tibialis tend to lat
column
Trsf post tibialis tend, ant/post
foot
Release of hyperextension
deformity toe
Resec & IF tibia cong
pseudoarthros
Transfer rectus femoris hamstring
tendon
Transfer of medial hamstring
tendon
Transfer of lateral hamstring
tendon
Transfer cmb mdl & lat hamstring
tendon
Posterior release knee
contracture, uni
Posterior release knee
contracture, bil
Post rels knee contract & jt capsl
uni
Post rels knee contract & jt
capsule bil
Medial release of hip contracture,
uni
Medial release hip contracture
bilateral
Anterior release of hip contracture
uni
Anterior release of hip
contracture, bil
Transfer iliopsoas tendon to
trochanter
Transfer abdo musculature to
trochanter
Transfer of adductors to ischium
Bone graft to pelvis
Multiple peri-acetabular
osteotomies
Splitting of phalanx
Amputatn phalanx hand,
ligmt/joint recon
Centralstn forearm rdl
aplasia/dysplasia
Release of sternocleidomastoid
muscle
Flexorplasty of elbow
Resec dstl femur & prx tibia w
5041400
5041700
5042300
5203400
5203500
5209600
5210200
5212000
5212200
5212201
5212202
5212203
5214100
5214101
5214102
5214103
5214104
5214105
5214800
5232400
5232700
5233700
5260000
5260001
5260300
5260600
5260900
5262400
5262600
5262700
5263000
5301900
5320300
5321500
5321800
5321801
5321802
5322100
5322400
5322600
5322700
knee fus
Resec femr & tibia w knee fus
rotatnply
Recon knee trsf fib/tibia, rep
quadcps
Transfer fibula to tibia with IF
Cryotherapy of lesion of oral
mucosa
Endosc lasr thrpy upp
aerodigestive tr
Ins pin or wire
maxilla/mandible/zygoma
R/O pin/screw/wire
maxilla/mandible/zygo
Prt resection mandible w
condylectomy
Partial reconstruction of maxilla
Subtotal reconstruction of maxilla
Total reconstruction of one maxilla
Total reconstruction of both
maxillae
Interruption of mandibular artery
Interruption of facial artery
Interruption of lingual artery
Interruption of facial vein
Interruption of lingual vein
Interruption of mandibular vein
Microsurgical repair of parotid duct
Recon mouth dir tongue flp
sgl/first stg
Recon mouth dir tongue flp
second stg
Repair of alveolar cleft
Excision palatal exostosis
Excision maxilla or mandible
exostosis
Excision of mylohyoid ridge of
mandible
Excision of maxillary tuberosity
Excision papillary hyperplasia of
palate
Alv ridge aug by bone
graft/allograft
Alv ridge aug by ins tissue
expander
Intraoral OI dental implant, first
stg
Intraoral OI dental implant,
second stg
Bone graft to maxillary sinus
Open rdctn disloc TMJ
Arthroscopy of temporomandibular
joint
Arthroscopy TMJ w r/o loose body
Arthro debridement TMJ
Arthro div adhesion TMJ
Exploration of temporomandibular
joint
Expl TMJ w
condylectomy/condylotomy
Synovectomy of
temporomandibular joint
Expl TMJ w meniscus/capsular
surgery
5323000
5323300
5323600
5323900
5342400
5342500
5342700
5342900
9000101
9000302
9000303
9000600
9000700
9000701
9000702
9000900
9001000
9001100
9001101
9001102
9001103
9001104
9001105
9001200
9001201
9001300
9001400
9001500
9001600
9001601
9002100
9002400
9002401
9002500
9002501
9002502
9002503
9002600
9002601
9002700
9003100
9004000
Expl TMJ w
meniscus/capsular/condylar
Expl TMJ usg tis flap, cart gft,
allogft
Stabilisation of
temporomandibular joint
Arthrodesis of temporomandibular
joint
Open rdctn complicated fx maxilla
Open rdctn comp fx mandible
Open rdctn compl fx maxilla w IF
Open rdctn complic fx mandible w
IF
Removal of ventricular reservoir
Sbc impl nrstim dev/recr
R/O sbc impl nrstim dev/recr
Extrcran to intrcran byps w rdl art
gft
Oth dx proc skull, brain & cereb
menings
Other procedures on skull
Other proc on brain & cerebral
meninges
Postop reopn
laminotomy/laminectomy site
Biopsy of spinal cord or spinal
meninges
Oth dx proc spinal canal/cord
structures
Oth proc on spinal canal/cord
structures
Oth repair spinal canal/cord
structures
Removal of spinal catheter
R/O implantable spinal infus
device/pump
Spinal stereotactic localisation
Implantation of peripheral nrstim
Removal of peripheral
neurostimulator
Biopsy of nerve
Other surgical sympathectomy
Other surgical sympathectomy,
reop
Other diagnostic procedures on
nerves
Other procedure on nerves
Division of other intracranial nerve
Decomp lmbr spinal cnl, 1lvl
Decomp lmbr spinal cnl, >= 2 lvl
Rev spin proc w adjustment of
spin fix
Rev spin proc w R/O spinal
fixation
Rev of spinal procedure with bone
graft
Other revision of spinal procedure
Vertebroplasty, 1 vertebral body
Vertebroplasty, >= 2 vertebral
bodies
Intradiscal therapy
Inc & drain of spin canal or spin cd
str
Other proc on parathyroid gland
9004100
9004200
9004300
9004400
9004500
9004600
9004601
9004701
9004702
9004900
9006000
9006100
9006200
9006300
9006400
9006500
9006600
9006700
9006800
9006900
9007000
9007100
9007200
9007300
9007301
9007302
9007400
9007500
9007600
9007601
9007602
9007700
9007800
9007900
9008000
9008001
9008100
9008200
9008300
9008500
9008600
9008700
9008800
9008900
9009000
9009100
9009200
9009300
9009400
Other procedures on thyroid gland
Other procedures on adrenal gland
Other procedures on pineal gland
Other procedures on pituitary
gland
Other procedures on thymus
Subtotal thyroidectomy,
substernal
Total thyroidectomy, substernal
Incision of thyroid
Re-opening of wound of thyroid
Mediastinoscopic thymectomy
Other repair of eyeball
Other procedures on eyeball
Radial keratotomy
Photorefractive keratoplasty [PRK]
Other keratoplasty
Limbal stem cell transplant
Other repair of cornea
Other procedures on cornea
Destruction of lesion of sclera
Biopsy of sclera
Excision of lesion of sclera
Revision operative wound ant
segment NEC
Other procedures on sclera
Division of anterior synechiae by
laser
Division of posterior synechiae by
laser
Division corneovitreal adhes by
laser
Excision other lesion, anterior
chamber
Other procedures for glaucoma
Other procedures on iris
Other procedures on ciliary body
Other procedures on anterior
chamber
Other procedures on lens
Other procedures on vitreous
Other repair of retinal detachment
Other procedures on retina or
choroid
Other procedures on posterior
chamber
Other proc on extraocular
muscle/tendon
Other repair of orbit
Other procedures on orbit
Other repair of eyelid
Other procedures on eyelid
Removal of punctal plug
Other procedures on lacrimal
system
Other procedures on conjunctiva
Severing of blepharorrhaphy
Canthotomy
Repair of lacrimal punctum, NEC
Conjunctivoplasty
Destruction retinal lesion by
9009500
9009600
9011000
9011100
9011200
9011300
9011400
9011500
9011600
9011700
9011800
9012000
9012001
9013200
9013300
9013400
9013500
9013600
9013700
9013800
9013900
9014000
9014100
9014101
9014201
9014202
9014300
9014301
9014302
9014400
9014500
9014600
9014700
9014900
9015000
9016000
9016100
9016200
9016400
9016500
9016600
9016700
9016900
9017000
9017100
9017200
9017201
diathermy
Reconstruction eyelid w hair fol
graft
Posterior sclerotomy
Other repair of external ear
Other procedures on external ear
Other repair of eardrum or middle
ear
Other procedures on eustachian
tube
Other proc on eardrum or middle
ear
Other procedures on ossicles of
ear
Other proc on mastoid or temporal
bone
Other repair of inner ear
Other procedures on inner ear
Insertion of keratoprosthesis
Removal of keratoprosthesis
Other repair of nose
Other procedures on nose
Destruction of lesion of tongue
Excision of lesion of tongue
Other repair of tongue
Other procedures on tongue
Excision of lesion of salivary gland
Other repair of salivary gland or
duct
Other procedures on salivary
gland/duct
Local exc/destruction lesion bony
plate
Excision of other lesion of mouth
Other repair of palate
Other repair of uvula
Other procedures on mouth
Other procedures on palate
Other procedures on uvula
Excision lesion of tonsils or
adenoids
Other repair of tonsils and
adenoids
Other procedures on tonsils &
adenoids
Other procedures on pharynx
Excision of other lesion of pharynx
Thyroplasty
Other procedures on larynx
Excision of other lesion of larynx
Other procedures on trachea
Incision of larynx
Other procedures on bronchus
Division of pleural adhesions
Excision of lesion of trachea
Endoscopic wedge resection of
lung
Lung volume reduction surgery
Endoscopic pleurodesis
Sequential single lung trnsplnt bil
Other transplantation of lung
9017300
9017400
9017500
9017501
9017502
9017600
9017700
9017800
9018000
9018100
9020000
9020100
9020101
9020102
9020103
9020300
9020301
9020400
9020401
9020500
9020501
9020600
9020900
9020901
9020902
9020903
9021000
9021001
9021002
9021300
9021301
9021302
9021303
9021401
9021402
9021500
9021501
9021502
9021600
9021601
9021700
9021701
9021702
9021900
9022200
9022201
9022300
Other repair of lung or pleura
Revision CSF shunt at pleural site
Other procedures on chest wall
Other procedures on mediastinum
Other procedures on diaphragm
Repair of chest wall
Repair of thoracoabdominal
duplication
Other repair of diaphragm
Insertion of pleuroperitoneal shunt
Destruction procedures on lung
Revision CSF shunt at atrial site
Coron art byps usg 1 other matrl
gft NEC
Coron art byps usg 2 other matrl
gft NEC
Coron art byps usg 3 other matrl
gft NEC
Coron art byps usg >= 4 other
matrl gft
Perc adjust trnsven elec for
pacemaker
Percutaneous removal temporary
electrode
Removal donor heart for
transplantation
R/O donor heart & lung f
transplantation
Heart transplantation
Heart and lung transplantation
Cardiomyoplasty
Direct closure subclavian artery
Direct closure innominate artery
Direct closure of aorta
Direct closure of other artery
Repair subclavian art, dir anstms
Repair innominate art, dir anstms
Repair aorta by direct anastomosis
Repair subclavian art, interpstn gft
Repair innominate art, interpstn
gft
Repair aorta, interposition graft
Repair other artery, interpstn gft
Perc R/O triple chamber perm
electrode
R/O triple chamber permanent
electrode
Direct closure subclavian vein
Direct closure innominate vein
Direct closure of vena cava
Repair subclavian vein dir anstms
Repair innominate vein dir anstms
Repair innominate vein interpstn
gft
Repair subclavian vein interpstn
gft
Repair vena cava by interpstn gft
Rev/relocation skin pckt for
pacemaker
Other procedures on arteries
Other procedures on veins
Other vascular procedures
9022400
9022900
9023000
9023100
9023200
9023300
9028100
9028200
9028201
9028202
9028300
9028400
9028401
9028402
5095000
9029900
9030000
9030100
9030300
9030400
9030500
9030700
9031000
9031100
9031300
9031400
9031501
9031600
9031700
9031800
9031900
9032000
9032100
9032200
9032300
9032400
9032500
9032600
9032700
9032800
9032801
3017800
9032900
9032901
9032902
Repair of transposition of great
vessels
Other endarterectomy
Embolectomy/thrombectomy of
other artery
Replacement of bypass graft from
trunk
Direct closure of other vein
Rep other vein by interposition
graft
Incision of lymphatic structure
Excision of lymph node of other
site
Regional excision lymph nodes
other site
Radical excision lymph nodes,
other site
Other procedures on lymphatic
structures
Percutaneous removal of
lymphocele
Laparoscopic removal of
lymphocele
Removal of lymphocele
Radiofrequency ablation of liver
Other destruction of liver
Repair of oesophageal duplication
Other procedures on oesophagus
Repair of gastric duplication
Other repair of stomach
Other procedures on stomach
Other procedures on small
intestine
Other procedures on large
intestine
Other procedures on appendix
Other repair of rectum
Other procedures on rectum
Excision other lesion or tissue
anus
Other procedures on anus
Transplantation of liver
Other repair of liver
Other procedures on liver
Other repair of gallbladder
Other repair of biliary tract
Other procedures on gallbladder
Other procedures on biliary tract
Transplantation of pancreas
Other repair of pancreas
Other procedures on pancreas
Excision cong intra-abdominal
lesion
Excision of lesion of peritoneal
tissue
Exc lesion peritonl tis w intest
resect
Cls sec defect abdo w umbilicus
recon
Other repair of abdomen
Other repair of peritoneum
Other repair of omentum
9032903
9033000
9033100
9033300
9033400
9033500
9033501
9033700
9033800
9034000
9034001
3210300
9034100
9034200
9034201
9034202
9034203
9034500
9034600
9035000
9035400
9035500
9035501
9035700
9035800
9035900
9035901
9036000
9036300
9036301
9036400
9036500
9036600
9036900
9037200
9037300
9037302
9037400
9039100
9039200
9039300
9039400
9039500
9039501
9039600
Other repair of mesentery
Revision CSF shunt at peritoneal
site
Oth proc abdomen, peritoneum or
omentum
Perc transhepatic embolisation,
varices
Trnsjugular intrahep
portosystemic shunt
Other dx procedures on digestive
system
Other procedures on digestive
system
Other stenting of biliary tract
Incision of rectum or anus
Closure of fistula of small intestine
Closure of fistula of large intestine
Per anal exc lsn rect via strscp
rtscp
Other excision of lesion of rectum
Suture of laceration of rectum
Suture of laceration of anus
Suture of laceration of stomach
Repair of laceration of gall bladder
Control of haemorrhage of rectum
or anus
Total hepatectomy
Other repair of kidney
Other procedures on kidney
Impl electronic ureteral stimulator
Removal electronic ureteral
stimulator
Other repair of ureter
Other procedures on ureter
Implantation electronic bladder
stimlr
R/O electronic bladder stimulator
Other excision of lesion of bladder
Other diagnostic procedures on
bladder
Other procedures on bladder
Other repair of urethra
Other procedures on urethra
Other procedures on urinary
system
Exploration of perivesical tissue
Perc transjejunal cholangiography
Percutaneous stenting of biliary
tract
Percutaneous removal of biliary
stent
Percutaneous dilation of biliary
tract
Incision of seminal vesicle
Control postop haemorrhage of
prostate
Excision of seminal vesicle
Trnsureth balln dilat prostatic
urethra
Other procedures on prostate
Other procedures on seminal
vesicle
Excision of lesion of tunica
9039701
9039801
9040000
9040100
9040101
9040200
9040201
9040300
9040400
9040500
9040501
9040600
9040700
9043000
9043001
9043100
9043200
9043300
9043301
9043400
9043500
9043501
9043600
9043700
9043800
9043900
9044000
9044100
9044101
9044200
9044300
9044400
9044500
9044600
9045000
9045001
9045002
9045200
9046400
9048800
9047800
9048000
9048001
9053001
9053003
9053300
9053500
vaginalis
Other repair scrotum or tunica
vaginalis
Other proc on scrotum/tunica
vaginalis
Other repair of testis
Other diagnostic procedures on
testis
Other procedures on testis
Incision of penis
Division of penile adhesions
Local excision of lesion of penis
Other repair of penis
Other penile proc for sex
transformation
Other procedures on penis
Other procedures on male genital
organs
Excision of other lesion of prostate
Other laparoscopic repair of ovary
Other repair of ovary
Other procedures on ovary
Biopsy of fallopian tube
Other lap repair of fallopian tube
Other repair of fallopian tube
Other procedures on fallopian tube
Other laparoscopic repair of uterus
Other repair of uterus
Other procedures on uterus
Other destruction of lesion of
vagina
Other procedures on vagina
Other destruction of lesion of
vulva
Excision of lesion of vulva
Other procedures on vulva
Other procedures on clitoris
Other procedures female genital
organs
Other excision of uterus
Repair of vaginoperineal fistula
Rdctn clitoroplasty reloc ureth
orifce
Other incision of vulva or
perineum
Anterior pelvic exenteration
Posterior pelvic exenteration
Total pelvic exenteration
Excision of other lesion of uterus
Correction of fetal defect
Endoscopic ablation vessels
placenta
Suture of ruptured uterus
Sut obst lacr bladder/urethra wo
perinl
Sut obst lacr rect/sphc ani wo
perineal
Open rdctn fx mand/max alveolar
ridge
Open rdctn fx facial bone NEC
Other repair of shoulder
Disarticulation at elbow
9053600
9053700
9053900
9054000
9054100
9054101
9054200
9054300
9054400
9054500
9054700
9054800
9055100
9055200
9055500
9055600
9055700
9055800
9055900
9056100
9056600
9056700
9056701
9056800
9056801
9056802
9056900
9057000
9057100
9057200
9057300
9057400
9057401
9057500
9057700
9057800
9057900
9058000
9058100
9058200
9058201
9058202
9058300
9058301
Other repair of elbow
Revision arthroplasty of elbow
Implantation of prosthetic device
of arm
Tenolysis flex/extens tend
forearm/wrist
Clsd rdctn sep epiphys radius/ulna
Open rdctn sep epiphys
radius/ulna
Other repair of wrist
Revision arthroplasty of wrist
Division of adhesions of hand
Incision of soft tissue of hand
Repair of muscle or fascia of hand,
NEC
Other plastic procedures on hand
Implantation of prosthetic device
of leg
Other repair of hip
Osteotomy of patella
Tenolysis Achilles' flexor/extensor
tend
Disarticulation through toe
Open reduction of fracture of
ankle
Arthrodesis of toe
Ins/replace skeletal muscle
stimulator
Removal of skeletal muscle
stimulator
Fasciotomy for upper limb
ischaemia
Fasciotomy for lower limb
ischaemia
Incision of muscle, NEC
Incision of bursa, NEC
Incision of soft tissue, NEC
Osteotomy, not elsewhere
classified
Div jt capsule, ligament, cartilage
NEC
Div adhes soft tissue NEC
Ostectomy, not elsewhere
classified
Sequestrectomy other & unsp M/S
site
Excision of lesion of joint, NEC
Excision of joint, NEC
Excision of soft tissue, NEC
Procurement muscle or fascia for
graft
Procurement of tendon for graft
Fasciectomy, not elsewhere
classified
Debridement of open fracture site
Reduction of separated epiphysis,
NEC
Suture of ligament, NEC
Suture of tendon, NEC
Suture of muscle or fascia, NEC
Tendon graft, not elsewhere
classified
Muscle graft, not elsewhere
9058400
9058401
9058500
9058600
9058800
9058900
9058901
9059000
9059200
9059201
9059300
9059301
9059400
9059500
9059600
9059700
9059800
9059900
9060000
9060001
9060200
9060300
9060301
9060302
9060303
9060304
9060305
9060306
9060307
9060308
9060309
9060310
9060311
9060312
9060313
9060314
9060315
9060316
9060317
9060318
9060319
9060320
9060400
9060500
9060501
9060700
9060701
classified
Transposition of tendon, NEC
Reattachment of tendon, NEC
Reattachment of muscle, NEC
Other plastic procedures on
muscle, NEC
Osteoclasis
Repair of bone, not elsewhere
classified
Repair of ligament, NEC
Tendon pulley reconstruction, NEC
Separation of equal conjoined
twins
Separation of unequal conjoined
twins
Oth dx proc muscle tend fascia
bursa NEC
Oth proc muscle tendon fascia
bursa NEC
Other dx proc on bone or joint
NEC
Other proc musculoskeletal
system NEC
Rewiring of sternum
Silastic replacement of distal ulna
Other repair of knee
Other repair of ankle
Arthro release adhes/contract
shoulder
Release adhesions/contracture
shoulder
Biopsy of intervertebral disc
Sequestrectomy of maxilla
Sequestrectomy of mandible
Sequestrectomy of sternum
Sequestrectomy of rib
Sequestrectomy of vertebra
Sequestrectomy of vertebra w
cord inv
Sequestrectomy of clavicle
Sequestrectomy of scapula
Sequestrectomy of humerus
Sequestrectomy of radius
Sequestrectomy of ulna
Sequestrectomy of carpus
Sequestrectomy of metacarpus
Sequestrectomy of phalanx of
hand
Sequestrectomy of pelvic bones
Sequestrectomy of femur
Sequestrectomy of tibia
Sequestrectomy of fibula
Sequestrectomy of tarsus
Sequestrectomy of metatarsus
Sequestrectomy of phalanx of foot
Correction of bony deformity
Compression w distraction
osteosynthesis
Osteosynthesis, NEC
Resurfacing of hip, unilateral
Resurfacing of hip, bilateral
9066500
9066900
9067000
9067001
9067100
9067101
9067200
9067201
9067300
9067500
9067800
9067801
9067802
9067900
9067901
9067902
9067903
9068000
9068001
9068002
9068003
9068100
9068300
9068400
4554802
9072000
9076400
9076401
9076900
9076901
9076902
1182000
9095100
9095200
9095400
9095900
9206800
9206801
9206802
9618900
9618901
9619001
9619002
9619200
Exc debridement skin & sbc tissue
Excision of skin for graft
Allograft
Allograft to burn
Xenograft
Xenograft to burn
Synthetic skin graft
Synthetic skin graft to burn
Correction of syndactyly
Other repair of SSCT
Partial resection oth facial bone
NEC
Subtot resection oth facial bone
NEC
Total resection other facial bone
NEC
Osteotomy of zygoma, unilateral
Osteotomy of zygoma, bilateral
Ostectomy of zygoma, unilateral
Ostectomy of zygoma, bilateral
Osteotomy of zygoma w int
fixation, uni
Osteotomy of zygoma w int
fixation, bil
Ostectomy of zygoma w int
fixation, uni
Ostectomy of zygoma w int
fixation, bil
Other repair of facial bone
Reconstruction of zygoma
Other reconstruction of facial bone
Adjustment of breast tissue
expander
Other procedures on breast
Brachythrpy intracavitary low dose
rate
Brachythrpy intracavitary high
dose rate
Insertion of artificial bowel
sphincter
Revision of artificial bowel
sphincter
Removal of artificial bowel
sphincter
Panendoscopy via camera capsule
Fixation of large intestine
Incision of abdominal wall
Other reconstruction of
oesophagus
Excision other lesion of large
intestine
Endoscopic insertion of duodenal
prosth
Endoscopic replacement duodenal
prosth
Endoscopic removal of duodenal
prosth
Omentectomy
Laparoscopic omentectomy
Replacement of nasopharyngeal
device
Removal of nasopharyngeal device
Ins intervertebral disc prosthesis 1
9619201
9619202
9619203
9723200
9723300
9723400
lvl
Ins intervertebral disc prosth >= 2
lvl
Rev intervertebral disc prosthesis
1 lvl
Rev intervertebral disc prosth >=
2 lvl
Periodontal flp surg proc per <= 8
teeth
Alveolar osseous surgical proc
<=8 teeth
Alveolar osseous grft / implant per
tth
9723500
9723800
9733100
9737900
9621500
Gingival graft, per tooth or
implant
Periodontal flap proc, crown
lengthening
Alveolectomy, per segment
Marsupialisation of cyst in oral
cavity
Incision & drain of lesion in orl
cavity
Appendix C: Trauma Diagnosis Codes
Used:
Death in Low-Mortality DRGs (PSI 2)
Failure to Rescue (PSI 4)
Postoperative Hip Fracture (PSI 8)
ICD-10-AM 5th edition Trauma diagnosis codes:
S010
Open wound of scalp
S011
Open wound of eyelid and
periocular area
S0120
Open wound of nose part
unspecified
S0121
Open wound of nose external skin
S0122
Open wound of nares (nostril)
S0123
Open wound of nasal septum
S0129
Open wound oth & multiple parts
nose
S0130
Open wound of external ear part
unsp
S0131
Open wound of auricle
S0133
Open wound of tragus
S0134
Open wound of external auditory
meatus
S0135
Open wound of eustachian tube
S0136
Open wound of ossicles
S0137
Open wound of ear drum
S0138
Open wound of inner ear
S0139
Open wound oth mult sites ear &
aud str
S0141
Open wound of cheek
S0142
Open wound of maxillary region
S0143
Open wound of mandibular region
S0149
Open wound oth mult site cheek
TMJ area
S0150
Open wound of mouth part
unspecified
S0151
Open wound of lip
S0152
Open wound of buccal mucosa
S0153
Open wound of gum (alveolar
process)
S0154
Open wound of tongue and floor
of mouth
S0155
Open wound of palate
S0159
Open wound oth mult parts lip
oral cv
S017
Multiple open wounds of head
S0181
Open wound head w
communicating fx
S0182
Open wound head comm w disloc
S0183
Open wound head comm w
intrcran inj
S0188
Open wound of other parts of
head
S019
Open wound of head part
unspecified
S020
Fracture of vault of skull
S021
Fracture of base of skull
S022
Fracture of nasal bones
S023
Fracture of orbital floor
S024
Fracture of malar and maxillary
S025
S0260
S0261
S0262
S0263
S0264
S0265
S0266
S0267
S0268
S0269
S027
S028
S029
S030
S031
S032
S033
S052
S053
S054
S055
S056
S057
S058
S0600
S0601
S0602
S0603
S0604
S0605
S061
S0620
S0621
S0622
S0623
bones
Fracture of tooth
Fracture of mandible part
unspecified
Fracture of condylar process
Subcondylar fracture
Fracture of coronoid process
Fracture of ramus unspecified
Fracture of angle of jaw
Fracture of symphysis of body
Fracture of alveolar border of body
Fx mandible body other & unsp
parts
Fracture of mandible multiple sites
Mult fractures inv skull facial
bones
Fractures of oth skull and facial
bones
Fracture skull & facial bones part
unsp
Dislocation of jaw
Dislocation of septal cartilage of
nose
Dislocation of tooth
Disloc other & unsp parts of head
Oclr lacr w prolps loss intraocular
tis
Oclr lacr wo prolps loss intraocular
tis
Penetrating wound orbit w or wo
FB
Penetrating wound eyeball w
foreign body
Penetrating wound eyeball wo FB
Avulsion of eye
Other injuries of eye and orbit
Concussion
Loss of consciousness of unsp
duration
LOC brief dur [less than 30
minutes]
LOC moderate duration [30 mins24hrs]
LOC prolong dur w return
conscious lvl
LOC prolong dur wo return
conscious lvl
Traumatic cerebral oedema
Dfs cerebral cerebellar brain inj
unsp
Diffuse cerebral contusions
Diffuse cerebellar contusions
Mult intracerebral cerebellar
haematomas
S0628
S0630
S0631
S0632
S0633
S0634
S0638
S064
S065
S066
S068
S069
S070
S071
S078
S079
S080
S081
S088
S089
S090
S092
S099
S1101
S1102
S111
S1121
S1122
S117
S1181
S1182
S1188
S119
S120
S121
S1221
S1222
S1223
S1224
S1225
S127
S128
S129
S130
S1310
S1311
Oth diffuse cerebral & cerebellar
injury
Focal cerebral & cerebellar injury
unsp
Focal cerebral contusion
Focal cerebellar contusion
Focal cerebral haematoma
Focal cerebellar haematoma
Oth focal cerebral and cerebellar
injury
Epidural haemorrhage
Traumatic subdural haemorrhage
Traumatic subarachnoid
haemorrhage
Other intracranial injuries
Intracranial injury unspecified
Crushing injury of face
Crushing injury of skull
Crushing injury of other parts of
head
Crushing injury of head part unsp
Avulsion of scalp
Traumatic amputation of ear
Traumatic amputation oth parts
head
Traumatic amputatn of unsp part
of head
Injury of blood vessels of head
NEC
Traumatic rupture of ear drum
Unspecified injury of head
Open wound of larynx
Open wound of trachea
Open wound involving thyroid
gland
Open wound of pharynx
Open wound of cervical
oesophagus
Multiple open wounds of neck
Open wound neck w comm fx
Open wound neck comm w disloc
Open wound of other parts of neck
Open wound of neck part
unspecified
Fracture of first cervical vertebra
Fracture of second cervical
vertebra
Fracture of third cervical vertebra
Fracture of fourth cervical
vertebra
Fracture of fifth cervical vertebra
Fracture of sixth cervical vertebra
Fracture of seventh cervical
vertebra
Multiple fractures of cervical spine
Fracture of other parts of neck
Fracture of neck part unspecified
Traum rupt cervical intervertebral
disc
Dislocation cervical vertebra level
unsp
Dislocation of C1/C2 cervical
S1312
S1313
S1314
S1315
S1316
S1317
S1318
S132
S133
S140
S1410
S1411
S1412
S1413
S142
S143
S1470
S1471
S1472
S1473
S1474
S1475
S1476
S1477
S1478
S1500
S1501
S1502
S1503
S151
S152
S153
S157
S158
S159
S170
S178
S179
S18
S210
S211
S212
S217
vertebrae
Dislocation of C2/C3 cervical
vertebrae
Dislocation of C3/C4 cervical
vertebrae
Dislocation of C4/C5 cervical
vertebrae
Dislocation of C5/C6 cervical
vertebrae
Dislocation of C6/C7 cervical
vertebrae
Disloc C7/T1 cervicothoracic
vertebrae
Other dislocation of cervical
vertebrae
Disloc of oth & unsp parts of neck
Multiple dislocations of neck
Concussion & oedema cervical
spinal cord
Injury of cervical spinal cord unsp
Complete lesion of cervical spinal
cord
Central cord syndrome cervical
Oth incomp cord synd cerv spinal
cord
Injury of nerve root of cervical
spine
Injury of brachial plexus
Fn spin cord inj cerv lvl unsp
Functional spinal cord injury, C1
Functional spinal cord injury, C2
Functional spinal cord injury, C3
Functional spinal cord injury, C4
Functional spinal cord injury, C5
Functional spinal cord injury, C6
Functional spinal cord injury, C7
Functional spinal cord injury, C8
Injury of carotid artery unspecified
Injury of common carotid artery
Injury of external carotid artery
Injury of internal carotid artery
Injury of vertebral artery
Injury of external jugular vein
Injury of internal jugular vein
Injury mult blood vessels at neck
level
Injury oth blood vessels at neck
level
Injury unsp blood vessel at neck
level
Crushing injury of larynx and
trachea
Crushing injury of other parts of
neck
Crushing injury of neck part unsp
Traumatic amputation at neck
level
Open wound of breast
Open wound of front wall of
thorax
Open wound of back wall of thorax
Multiple open wounds of thoracic
wall
S2181
S2182
S2183
S2188
S219
S2200
S2201
S2202
S2203
S2204
S2205
S2206
S221
S222
S2231
S2232
S2240
S2241
S2242
S2243
S2244
S225
S228
S229
S230
S2310
S2311
S2312
S2313
S2314
S2315
S2316
S2317
S232
S240
S2410
S2411
S2412
Open wound (of any part thrx)
comm w fx
Open wound thrx comm w disloc
Open wound thrx comm w
intrathor inj
Open wound of other parts of
thorax
Open wound of thorax part
unspecified
Fracture of thoracic vertebra level
unsp
Fracture thoracic vertebra T1 & T2
level
Fracture thoracic vertebra T3 & T4
level
Fracture thoracic vertebra T5 & T6
level
Fracture thoracic vertebra T7 & T8
level
Fracture thoracic vertebra T9 T10
level
Fracture thoracic vertebra T11
T12 level
Multiple fractures of thoracic spine
Fracture of sternum
Fracture of first rib
Fracture of one rib oth than first
rib
Multiple rib fractures unspecified
Multiple rib fractures inv first rib
Multiple rib fractures inv two ribs
Multiple rib fractures inv three ribs
Multiple rib fractures inv >= four
ribs
Flail chest
Fracture of other parts of bony
thorax
Fracture of bony thorax part unsp
Traum rupt thoracic intervertebral
disc
Dislocation thoracic vertebra level
unsp
Disloc T1/T2 & T2/T3 thoracic
vertebrae
Disloc T3/T4 & T4/T5 thoracic
vertebrae
Disloc T5/T6 & T6/T7 thoracic
vertebrae
Disloc T7/T8 & T8/T9 thoracic
vertebrae
Disloc T9/T10 T10/T11 thoracic
vertebrae
Dislocation T11/T12 thoracic
vertebrae
Disloc T12/L1 thoracolumbar
vertebrae
Disloc of oth & unsp parts of
thorax
Concussion & oedema thoracic
spinal cord
Injury of thoracic spinal cord unsp
Complete lesion of thoracic spinal
cord
Incomp cord synd thoracic spinal
cord
S242
S2470
S2471
S2472
S2473
S2474
S2475
S2476
S2477
S250
S251
S252
S253
S254
S255
S257
S258
S259
S260
S2681
S2682
S2683
S2688
S269
S270
S271
S272
S2731
S2732
S2738
S274
S275
S276
S277
S2781
S2782
S2783
S2784
S2788
S279
S280
S281
S310
S311
S312
Injury of nerve root of thoracic
spine
Fn spin cord inj thor lvl unsp
Functional spinal cord injury, T1
Functional spinal cord injury,
T2/T3
Functional spinal cord injury,
T4/T5
Functional spinal cord injury,
T6/T7
Functional spinal cord injury,
T8/T9
Functional spinal cord injury,
T10/T11
Functional spinal cord injury, T12
Injury of thoracic aorta
Injury 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 multiple blood vessels
thorax
Injury of other blood vessels of
thorax
Injury of unsp blood vessel of
thorax
Traumatic haemopericardium
Contusion of heart
Lacr heart wo penetration into
chamber
Lacr heart w penetration into
chamber
Other injuries of heart
Injury of heart unspecified
Traumatic pneumothorax
Traumatic haemothorax
Traumatic haemopneumothorax
Contusion and haematoma of lung
Laceration of lung
Other and unspecified injuries of
lung
Injury of bronchus
Injury of thoracic trachea
Injury of pleura
Multiple injuries of intrathoracic
org
Injury of diaphragm
Injury of lymphatic thoracic duct
Injury of oesophagus (thoracic
part)
Injury of thymus gland
Inj oth spec intrathor organs & str
Injury of unsp intrathoracic organ
Crushed chest
Traumatic amputation of part of
thorax
Open wound of lower back and
pelvis
Open wound of abdominal wall
Open wound of penis
S313
S314
S315
S317
S3180
S3181
S3182
S3183
S3200
S3201
S3202
S3203
S3204
S3205
S321
S322
S323
S324
S325
S327
S3281
S3282
S3283
S3289
S330
S3310
S3311
S3312
S3313
S3314
S3315
S332
S333
S334
S340
S341
S342
S343
Open wound of scrotum and
testes
Open wound of vagina and vulva
Open wound oth & unsp ext gen
organs
Mult open wounds abdo lower
back pelvis
Open wound oth & unsp parts
abdomen
Opn wound abdo low back pelv w
comm fx
Opn wnd abdo low back pelv
comm disloc
Opn wnd abdo low back comm
intrabdo inj
Fracture of lumbar vertebra level
unsp
Fracture of lumbar vertebra L1
level
Fracture of lumbar vertebra L2
level
Fracture of lumbar vertebra L3
level
Fracture of lumbar vertebra L4
level
Fracture of lumbar vertebra L5
level
Fracture of sacrum
Fracture of coccyx
Fracture of ilium
Fracture of acetabulum
Fracture of pubis
Multiple fractures lumbar spine w
pelvis
Fracture of ischium
Fracture lumbosacral spine, part
unsp
Fracture of pelvis, part unspecified
Other and multiple pelvic fractures
Traum rupt lumbar intervertebral
disc
Dislocation of lumbar vertebra lvl
unsp
Dislocation of L1/L2 lumbar
vertebrae
Dislocation of L2/L3 lumbar
vertebrae
Dislocation of L3/L4 lumbar
vertebrae
Dislocation of L4/L5 lumbar
vertebrae
Dislocation of L5/S1 lumbar
vertebrae
Disloc sacroiliac sacrococcygeal
joint
Disloc oth unsp parts lmbr spine &
pelv
Traumatic rupture of symphysis
pubis
Concussion & oedema lumbar
spinal cord
Other injury of lumbar spinal cord
Injury nerve root lumbar & sacral
spine
Injury of cauda equina
S344
S3470
S3471
S3472
S3473
S3474
S3475
S3476
S350
S351
S352
S353
S354
S355
S357
S358
S359
S3600
S3601
S3602
S3603
S3604
S3608
S3610
S3611
S3612
S3613
S3614
S3615
S3616
S3617
S3618
S3620
S3621
S3622
S3623
S3629
S363
S3640
S3641
S3649
S3650
S3651
S3652
S3653
S3654
S3659
S366
S367
Injury of lumbosacral plexus
Fn spin cord inj, lmbr lvl unsp
Functional spinal cord injury, L1
Functional spinal cord injury, L2
Functional spinal cord injury, L3
Functional spinal cord injury, L4
Functional spinal cord injury, L5
Functional spinal cord injury,
sacrum
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 mult bl vesl abdo low back
pelvis
Inj oth bl vesl abdo low back
pelvis lvl
Inj unsp bl vessel abdo low back
pelv
Injury of spleen unspecified
Haematoma spleen
Capsule tear spleen wo disrupt
parench
Lacr spleen extending into
parenchyma
Massive parenchymal disruption of
spleen
Other injury of spleen
Injury of liver unspecified
Contusion and haematoma of liver
Laceration of liver unspecified
Minor laceration of liver
Moderate laceration of liver
Major laceration of liver
Other injury of liver
Injury of gallbladder
Injury of bile duct
Injury of pancreas, part
unspecified
Injury of head of pancreas
Injury of body of pancreas
Injury of tail of pancreas
Injury oth & multiple parts
pancreas
Injury of stomach
Injury of small intestine part unsp
Injury of duodenum
Injury oth & multiple parts sm
intestine
Injury of colon part unspecified
Injury of ascending [right] colon
Injury of transverse colon
Injury of descending [left] colon
Injury of sigmoid colon
Injury of oth & multiple parts of
colon
Injury of rectum
Injury of multiple intra-abdominal
S3681
S3682
S3683
S3688
S369
S3700
S3701
S3702
S3703
S371
S3720
S3721
S3722
S3728
S3730
S3731
S3732
S3733
S3738
S374
S375
S376
S377
S3781
S3782
S3783
S3784
S3788
S379
S380
S381
S382
S383
S396
S397
S410
S411
S417
S4180
S4181
S4182
S4200
S4201
S4202
S4203
S4209
org
Injury of peritoneum
Injury of mesentery
Injury of retroperitoneum
Injury of other intra-abdominal
organs
Injury of unsp intra-abdominal
organ
Injury of kidney unspecified
Contusion & haematoma of kidney
Laceration of kidney
Complete disruption of kidney
parenchyma
Injury of ureter
Injury of bladder unspecified
Contusion of bladder
Rupture of bladder
Other injury of bladder
Injury of urethra part unspecified
Injury of membranous urethra
Injury of penile urethra
Injury of prostatic urethra
Injury of other part of urethra
Injury of ovary
Injury of fallopian tube
Injury of uterus
Injury of multiple pelvic organs
Injury of adrenal gland
Injury of prostate
Injury of seminal vesicle
Injury of vas deferens
Injury of other pelvic organ
Injury of unspecified pelvic organ
Crushing injury of external genital
org
Crush inj oth parts abdo low back
pelv
Traumatic amputatn external
genital org
Traum amputatn oth abdo low
back pelv
Injury intrabdo org(s) w pelv
org(s)
Oth mult inj abdomen lower back
pelvis
Open wound of shoulder
Open wound of upper arm
Multiple open wounds shoulder
upper arm
Open wound of oth / unsp
shoulder rgn
Open wound shoulder upp arm w
comm fx
Opn wnd shold upp arm comm w
disloc
Fracture of clavicle part
unspecified
Fracture of sternal end of clavicle
Fracture of shaft of clavicle
Fracture of acromial end of
clavicle
Multiple fractures of clavicle
S4210
S4211
S4212
S4213
S4214
S4219
S4220
S4221
S4222
S4223
S4224
S4229
S423
S4240
S4241
S4242
S4243
S4244
S4245
S4249
S427
S428
S429
S4300
S4301
S4302
S4303
S4308
S431
S432
S433
S450
S451
S452
S453
S457
S458
S459
S47
S480
Fracture of scapula part
unspecified
Fracture of body of scapula
Fracture of acromial process
Fracture of coracoid process
Fracture glenoid cavity & neck
scapula
Multiple fractures of scapula
Fracture upper end humerus part
unsp
Fracture of head of humerus
Fracture of surgical neck of
humerus
Fracture of anatomical neck of
humerus
Fracture greater tuberosity
humerus
Fracture oth mult part upper end
humerus
Fracture of shaft of humerus
Fracture lower end humerus part
unsp
Supracondylar fracture of
humerus
Fracture of lateral condyle of
humerus
Fracture of medial condyle of
humerus
Fracture of condyle(s) of humerus
unsp
T-shaped fracture of distal
humerus
Oth multiple fractures lower end
humerus
Mult fractures clavicle scapula
humerus
Fracture oth parts shoulder &
upper arm
Fracture of shoulder girdle part
unsp
Dislocation of shoulder unspecified
Anterior dislocation of humerus
Posterior dislocation of humerus
Inferior dislocation of humerus
Dislocation of other part of
shoulder
Dislocation of acromioclavicular
joint
Dislocation of sternoclavicular
joint
Disloc oth unsp parts shoulder
girdle
Injury of axillary artery
Injury of brachial artery
Injury of axillary or brachial vein
Inj spfl vein shoulder upp arm lvl
Injury mult bl vesl shoulder upp
arm lvl
Injury oth bl vesl shoulder upp
arm lvl
Inj unsp bl vessel shoulder upp
arm lvl
Crushing injury of shoulder &
upper arm
Traumatic amputation at shoulder
S481
S489
S510
S517
S5181
S5182
S5188
S519
S5200
S5201
S5202
S5209
S5210
S5211
S5212
S5219
S5220
S5221
S5230
S5231
S524
S5250
S5251
S5252
S5253
S5259
S526
S527
S528
S529
S530
S5310
S5311
S5312
S5313
S5314
S5318
S532
S533
S550
joint
Traum amputatn lvl b shoulder &
elbow
Traum amputatn shoulder upp
arm lvl unsp
Open wound of elbow
Multiple open wounds of forearm
Open wound forearm w comm
fracture
Open wound forearm w comm
disloc
Open wound of other parts of
forearm
Open wound of forearm part
unspecified
Fracture of upper end of ulna part
unsp
Fracture of olecranon process of
ulna
Fracture of coronoid process of
ulna
Oth & multiple fractures upper end
ulna
Fx of upper end of radius part
unsp
Fracture of head of radius
Fracture of neck of radius
Oth multiple fractures upper end
radius
Fracture of shaft of ulna part unsp
Fx prx shaft ulna w disloc head
radius
Fracture shaft of radius part unsp
Fx distal shaft radius, disloc head
ulna
Fracture of shafts of both ulna &
radius
Fracture of lower end of radius
unsp
Fx low end radius w dorsal
angulation
Fx low end radius w volar
angulation
Fx low rds volar angl & intrartclr fx
Oth multiple fractures lower end
radius
Fracture lower end both ulna &
radius
Multiple fractures of forearm
Fracture of other parts of forearm
Fracture of forearm part
unspecified
Dislocation of radial head
Dislocation of elbow unspecified
Anterior dislocation of elbow
Posterior dislocation of elbow
Medial dislocation of elbow
Lateral dislocation of elbow
Other dislocation of elbow
Traumatic ruputre of radial
collateral ligament
Traumatic rupture of ulnar
collateral ligament
Injury of ulnar artery at forearm
S551
S552
S557
S558
S559
S570
S578
S579
S580
S581
S589
S617
S6181
S6182
S6188
S619
S620
S6210
S6211
S6212
S6213
S6214
S6215
S6216
S6217
S6219
S6220
S6221
S6222
S6223
S6224
S6230
S6231
S6232
S6233
S6234
S624
level
Injury of radial artery at forearm
level
Injury of vein at forearm level
Inj mult blood vessels at forearm
level
Inj oth blood vessels at forearm
level
Injury unsp blood vessel at
forearm lvl
Crushing injury of elbow
Crushing injury of oth parts of
forearm
Crushing injury of forearm part
unsp
Traumatic amputation at elbow
joint
Traum amputatn lvl between
elbow wrist
Traumatic amputation forearm
level unsp
Multiple open wounds of wrist and
hand
Open wound wrist hand w comm
fx
Open wound wrist hand w comm
disloc
Open wound other parts of wrist &
hand
Open wound of wrist & hand part
unsp
Fracture navicular [scaphoid] bone
hand
Fracture of carpal bone
unspecified
Fracture of lunate bone of wrist
Fracture of triquetral bone of wrist
Fracture of pisiform
Fracture of trapezium bone
Fracture of trapezoid bone
Fracture of capitate bone
Fracture of hamate bone
Fracture of oth & multiple carpal
bones
Fracture first metacarpal bone
part unsp
Fracture of base first metacarpal
bone
Fracture of shaft first metacarpal
bone
Fracture of neck first metacarpal
bone
Fracture of head first metacarpal
bone
Fx oth metacarpal bone(s) part
unsp
Fracture base oth metacarpal
bone(s)
Fracture shaft oth metacarpal
bone(s)
Fracture neck oth metacarpal
bone(s)
Fracture head oth metacarpal
bone(s)
Multiple fractures of metacarpal
bones
S628
S6300
S6301
S6302
S6303
S6304
S6308
S650
S651
S652
S653
S654
S655
S657
S658
S659
S670
S678
S683
S684
S688
S689
S710
S711
S717
S7180
S7181
S7182
S7200
S7201
S7202
S7203
S7204
S7205
S7208
S7210
S7211
S722
S723
S7240
Fracture oth & unsp parts wrist &
hand
Dislocation of wrist part
unspecified
Dislocation radioulnar (joint) distal
Dislocation of radiocarpal (joint)
Dislocation of midcarpal (joint)
Dislocation of carpometacarpal
(joint)
Dislocation of other part of wrist
Injury ulnar art at wrist & hand
level
Injury radial art at wrist & hand
level
Injury of superficial palmar arch
Injury of deep palmar arch
Injury of blood vessel(s) of thumb
Injury of blood vessel(s) of oth
finger
Inj mult blood vesl at wrist & hand
lvl
Inj oth blood vesl at wrist & hand
level
Inj unsp bl vessel at wrist & hand
level
Crushing injury of thumb & oth
finger(s)
Crush injury oth & unsp parts
wrist hand
Cmb traum amputatn fngr w wrst
hand
Traumatic amputation hand at
wrist level
Traumatic amputatn oth parts
wrist hand
Traumatic amputatn wrist hand
level unsp
Open wound of hip
Open wound of thigh
Multiple open wounds of hip and
thigh
Open wound oth & unsp parts pelv
girdle
Open wound hip thigh w comm fx
Open wound hip thigh w comm
disloc
Fracture of neck femur part unsp
Fracture intracapsular section
femur
Fx upp epiphysis (separation)
femur
Fracture of subcapital section of
femur
Fracture of midcervical section of
femur
Fracture of base of neck of femur
Fracture of other parts of neck of
femur
Fracture trochanteric section
femur unsp
Fracture intertrochanteric section
femur
Subtrochanteric fracture
Fracture of shaft of femur
Fracture of lower end femur part
S7241
S7242
S7243
S7244
S727
S728
S729
S7300
S7301
S7302
S7308
S750
S751
S752
S757
S758
S759
S770
S771
S772
S780
S781
S789
S810
S817
S8181
S8182
S8188
S819
S820
S8211
S8218
S8221
S8228
S8231
S8238
S8240
S8241
S8242
S8249
S825
S826
S827
S8281
S8282
S8288
unsp
Fracture of femoral condyle
Fx low epiphysis (separation)
femur
Supracondylar fracture of femur
Intercondylar fracture of femur
Multiple fractures of femur
Fractures of other parts of femur
Fracture of femur part unspecified
Dislocation of hip unspecified
Posterior dislocation of hip
Anterior dislocation of hip
Other dislocation of hip
Injury of femoral artery
Injury femoral vein at hip & thigh
level
Inj greater saphenous vein hip
thigh lvl
Inj mult blood vesl at hip thigh
level
Inj oth blood vessels at hip thigh
level
Inj unsp bl vessel at hip thigh
level
Crushing injury of hip
Crushing injury of thigh
Crushing injury of hip with thigh
Traumatic amputation at hip joint
Traum amputatn at level between
hip knee
Traumatic amputatn hip & thigh
lvl unsp
Open wound of knee
Multiple open wounds of lower leg
Open wound (low leg) w comm fx
Open wound (low leg) w comm
disloc
Open wound of oth parts of lower
leg
Open wound of lower leg part
unsp
Fracture of patella
Fx upp end tibia w fx fibula (any
part)
Other fracture of upper end of
tibia
Fx shaft tibia w fx fibula (any
part)
Other fracture of shaft of tibia
Oth fx low end tibia w # fibula
Oth fracture of lower end of tibia
Fracture of fibula part unspecified
Fracture of upper end of fibula
Fracture of shaft of fibula
Multiple fractures of fibula
Fracture of medial malleolus
Fracture of lateral malleolus
Multiple fractures of lower leg
Bimalleolar fracture ankle
Trimalleolar fracture ankle
Fracture of other parts of lower
leg
S829
S830
S8310
S8311
S8312
S8313
S8314
S8318
S832
S833
S837
S850
S851
S852
S853
S854
S855
S857
S858
S859
S870
S878
S880
S881
S889
S910
S913
S917
S9181
S9182
S920
S921
S9220
S9221
S9222
S9223
S9228
S923
S927
S929
S930
S9310
Fracture of lower leg part
unspecified
Dislocation of patella
Dislocation of knee unspecified
Anterior dislocation tibia proximal
end
Posterior dislocation tibia proximal
end
Medial dislocation tibia proximal
end
Lateral dislocation tibia proximal
end
Other dislocation of knee
Tear of meniscus current
Tear articular cartilage knee
current
Injury to multiple structures of
knee
Injury of popliteal artery
Inj (anterior)(posterior) tibial
artery
Injury of peroneal artery
Inj greater saphenous vein low leg
lvl
Inj lesser saphenous vein at low
leg lvl
Injury of popliteal vein
Inj mult blood vessels at low leg
level
Inj oth blood vessels at lower leg
level
Inj unsp blood vessel at lower leg
level
Crushing injury of knee
Crushing injury oth unsp parts
lower leg
Traumatic amputation at knee
joint
Traum amputatn at lvl between
knee ankle
Traumatic amputation lower leg lvl
unsp
Open wound of ankle
Open wound of other parts of foot
Multiple open wounds of ankle and
foot
Open wound ankle foot w comm fx
Open wound ankle foot w comm
disloc
Fracture of calcaneus
Fracture of talus
Fracture of tarsal bone(s)
unspecified
Fracture of navicular [scaphoid]
foot
Fracture of cuboid foot
Fracture of cuneiform foot
Fracture of other part of tarsal
bone
Fracture of metatarsal bone
Multiple fractures of foot
Fracture of foot unspecified
Dislocation of ankle joint
Dislocation of toe(s) unspecified
S9311
S9312
S932
S9330
S9331
S9332
S9333
S9334
S9338
S950
S951
S952
S957
S958
S959
S970
S971
S978
S980
S983
S984
T010
T011
T012
T013
T016
T018
T019
T0200
T0201
T0210
T0211
T0220
T0221
T0230
T0231
T0240
T0241
Dislocation metatarsophalangeal
(joint)
Dislocation interphalangeal (joint)
foot
Rupture of ligaments at ankle and
foot level
Dislocation of foot part unspecified
Dislocation of tarsal (bone) joint
unsp
Dislocation of midtarsal (joint)
Dislocation of tarsometatarsal
(joint)
Dislocation metatarsal (bone) joint
unsp
Dislocation of other part of foot
Injury of dorsal artery of foot
Injury of plantar artery of foot
Injury of dorsal vein of foot
Inj mult blood vesl at ankle foot
level
Inj oth blood vesl at ankle foot
level
Inj unsp blood vessel at ankle foot
lvl
Crushing injury of ankle
Crushing injury of toe(s)
Crushing injury oth parts ankle &
foot
Traumatic amputation foot at
ankle level
Traumatic amputation oth parts
foot
Traumatic amputation of foot level
unsp
Open wounds involving head with
neck
Open wound thorax w abdo low
back pelv
Open wounds inv mult regions upp
limb(s)
Open wounds inv mult regions low
limb(s)
Open wound mult regions upp w
low limb
Open wounds inv oth cmb body
regions
Multiple open wounds unspecified
Fractures involving head w neck
closed
Fractures involving head with
neck, open
Fx inv thorax w lower back pelvis
closed
Fx inv thorax w lower back pelvis
open
Fractures inv mult rgn one upp
limb clsd
Fractures inv mult rgn one upp
limb open
Fractures inv mult rgn 1 low limb
clsd
Fractures inv mult rgn one low
limb open
Fx inv mult regions both upp limbs
clsd
Fx inv mult regions both upp limbs
T0250
T0251
T0260
T0261
T0270
T0271
T0280
T0281
T0290
T0291
T030
T031
T032
T033
T034
T038
T039
T040
T041
T042
T043
T044
T047
T048
T049
T050
T051
T052
T053
T054
T055
T056
T058
T059
open
Fx inv mult regions both low limbs
clsd
Fx inv mult regions both low limbs
open
Fx inv mult regions upp w low
limb clsd
Fx inv mult regions upp w low
limb open
Fx thorax w low back pelv w
limb(s) clsd
Fx thorax w low back pelv w limbs
open
Fractures inv oth cmb body
regions clsd
Fractures inv oth cmb body
regions open
Multiple fractures, unspecified,
closed
Multiple fractures, unspecified,
open
Disloc sprains strains inv head w
neck
Disloc sprain thrx w low back pelv
Disloc sprain strain mult rgn upp
limb
Disloc sprain strain mult rgn low
limb
Disloc sprain mult rgn upp w low
limb
Disloc sprain strain inv oth cmb bd
rgn
Mult dislocations sprains strains
unsp
Crushing injuries involving head w
neck
Crush inj inv thrx w abdo low back
pelv
Crush inj inv mult regions upper
limb(s)
Crush inj inv mult regions low
limb(s)
Crush inj inv mult rgn upp w low
limb
Crush inj thrx abdo low back pelv
limb
Crush inj inv oth cmb body
regions
Multiple crushing injuries
unspecified
Traumatic amputation of both
hands
Traum amputatn one hand & oth
arm
Traumatic amputatn both arms
[any level]
Traumatic amputation of both feet
Traum amputatn one foot & oth
leg
Traumatic amputatn both legs
[any level]
Traum amputatn upp low limbs
any cmb
Traum amputatn inv oth cmb body
regions
Multiple traumatic amputations
unsp
T060
T061
T063
T065
T080
T081
T091
T093
T094
T096
T100
T101
T111
T112
T114
T116
T120
T121
T131
T132
T134
T136
T141
T1420
T1421
T143
T145
T147
T200
T201
T202
T203
T2100
T2101
T2102
Inj brain cranial nrv w nrv spin cd
neck
Inj nrv spinal cord inv oth mult bd
rgn
Injuries bl vesl inv mult body
regions
Inj intrathor org w intrabdo pelv
org
Fracture of spine, level unsp
closed
Fracture of spine, level unsp open
Open wound of trunk level
unspecified
Injury of spinal cord level
unspecified
Inj ? nrv spin nrv root & plexus of
trnk
Traumatic amputation of trunk
level unsp
Fracture of upper limb, lvl unsp
closed
Fracture of upper limb, level unsp
open
Open wound of upper limb level
unsp
Disloc sprain jt ligmt upp limb lvl
unsp
Inj unsp bl vessel upper limb level
unsp
Traumatic amputatn upper limb
level unsp
Fracture of lower limb, lvl unsp
closed
Fracture of lower limb, level unsp
open
Open wound of lower limb level
unsp
Disloc sprain jt ligmt low limb lvl
unsp
Inj unsp blood vessel low limb lvl
unsp
Traumatic amputatn lower limb
level unsp
Open wound of unspecified body
region
Fracture of unspecified body
region clsd
Fracture of unspecified body
region open
Disloc sprain strain unsp body
region
Injury blood vessel(s) unsp body
region
Crush inj traum amputatn unsp
body rgn
Burn of unsp thickness of head
and neck
Erythema of head and neck
Partial thickness burn of head &
neck
Full thickness burn of head and
neck
Brn of unsp thickness of trunk
unsp site
Burn of unspecified thickness of
breast
Brn thck unsp chst wall excl brst,
T2103
T2104
T2105
T2109
T2110
T2111
T2112
T2113
T2114
T2115
T2119
T2120
T2121
T2122
T2123
T2124
T2125
T2129
T2130
T2131
T2132
T2133
T2134
T2135
T2139
T2200
T2201
T2202
T2210
T2211
T2212
T2220
T2221
T2222
T2230
T2231
T2232
T230
T231
T232
thrx
Burn of unsp thickness of
abdominal wall
Brn of unsp thickness of back [any
part]
Burn unsp thickness genitalia
[external]
Burn unsp thickness other sites of
trunk
Erythema of trunk unspecified site
Erythema of breast
Erythema chest wall excl breast &
thorax
Erythema of abdominal wall
Erythema of back [any part]
Erythema of genitalia [external]
Erythema of other sites of trunk
Partial thickness burn trunk site
unsp
Partial thickness burn breast
Prt thck brn chest excl brst &
thorax
Partial thickness burn abdo wall
Partial thickness burn back [any
part]
Partial thickness burn genitalia ext
Prt thck burn oth & mult sites
trunk
Full thickness burn of trunk unsp
site
Full thickness burn of breast
Full thck brn chst excl brst &
thorax
Full thickness burn of abdominal
wall
Full thickness burn of back [any
part]
Full thickness burn of genitalia ext
Full thickness burn oth mult sites
trunk
Burn thck unsp shoulder upp limb
Burn thickness unsp forearm and
elbow
Burn thck unsp upp arm shoulder
region
Erythema shoulder upper limb
unsp site
Erythema of forearm and elbow
Erythema arm (upper) & shoulder
region
Prt thck burn shold upp limb site
unsp
Prt thickness burn forearm elbow
Prt thck burn upp arm shoulder
region
Full thck burn upper limb
Full thickness burn of forearm and
elbow
Full thck burn arm (upp) shoulder
region
Burn of unsp thickness of wrist
and hand
Erythema of wrist and hand
Prt thck burn wrist hand
T233
T240
T241
T242
T243
T250
T251
T252
T253
T260
T261
T262
T263
T264
T270
T271
T272
T273
T280
T281
T282
T283
T284
T290
T291
T292
T293
T300
T301
T302
T303
T3100
T3110
T3111
T3120
T3121
T3122
T3130
T3131
Full thickness burn of wrist and
hand
Burn unsp thck hip low limb
Erythema hip low limb except
ankle foot
Prt thck burn hip low limb
Full thck burn hip low limb
Burn of unsp thickness of ankle
and foot
Erythema of ankle and foot
Prt thck burn ankle foot
Full thickness burn of ankle and
foot
Burn of eyelid and periocular area
Burn of cornea and conjunctival
sac
Burn w rupt destruction eyeball
Burn of other parts of eye and
adnexa
Burn of eye and adnexa part
unspecified
Burn of larynx and trachea
Burn involving larynx & trachea w
lung
Burn of other parts of respiratory
tract
Burn of respiratory tract part unsp
Burn of mouth and pharynx
Burn of oesophagus
Burn of other parts of alimentary
tract
Burn of internal genitourinary
organs
Burn of other and unsp internal
organs
Burns of multiple regions unsp
thickness
Burns mult rgn erythema burns
only
Burns mult rgn prt thck burns only
Burns mult rgn at least one full
thck
Burn of unsp body region unsp
thickness
Erythema body region unspecified
Burn partial thickness body region
unsp
Burn of full thickness body region
unsp
Burns < 10% BSA < 10% / ? full
thck brn
Burns 10-19% BSA < 10% / ? full
thck brn
Burns 10-19% BSA 10-19% full
thck burns
Burns 20-29% BSA < 10% / unsp
full thck
Burns 20-29% BSA 10-19% full
thck burns
Burns 20-29% BSA 20-29% full
thck burns
Burn 30-39% BSA < 10% / unsp
full thck
Burns 30-39% BSA 10-19% full
thck burns
T3132
T3133
T3140
T3141
T3142
T3143
T3144
T3150
T3151
T3152
T3153
T3154
T3155
T3160
T3161
T3162
T3163
T3164
T3165
T3166
T3170
T3171
T3172
T3173
T3174
T3175
T3176
T3177
T3180
T3181
T3182
T3183
T3184
T3185
Burns 30-39%
thck burns
Burns 30-39%
thck burns
Burns 40-49%
full thck
Burns 40-49%
thck burns
Burns 40-49%
thck burns
Burns 40-49%
thck burns
Burns 40-49%
thck burns
Burns 50-59%
full thck
Burns 50-59%
thck burns
Burns 50-59%
thck burns
Burns 50-59%
thck burns
Burns 50-59%
thck burns
Burns 50-59%
thck burns
Burns 60-69%
full thck
Burns 60-69%
thck burns
Burns 60-69%
thck burns
Burns 60-69%
thck burns
Burns 60-69%
thck burns
Burns 60-69%
thck burns
Burns 60-69%
thck burns
Burns 70-79%
full thck
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 70-79%
thck burns
Burns 80-89%
full thck
Burns 80-89%
thck burns
Burns 80-89%
thck burns
Burns 80-89%
thck burns
Burns 80-89%
thck burns
Burns 80-89%
BSA 20-29% full
T3186
BSA 30-39% full
T3187
BSA < 10% / unsp
T3188
BSA 10-19% full
T3190
BSA 20-29% full
T3191
BSA 30-39% full
T3192
BSA 40-49% full
T3193
BSA < 10% / unsp
T3194
BSA 10-19% full
T3195
BSA 20-29% full
T3196
BSA 30-39% full
T3197
BSA 40-49% full
T3198
BSA 50-59% full
T3199
BSA < 10% / unsp
T340
BSA 10-19% full
T341
BSA 20-29% full
T342
BSA 30-39% full
T343
BSA 40-49% full
BSA 50-59% full
T344
BSA 60-69% full
T345
BSA < 10% / unsp
T346
BSA 10-19% full
T347
BSA 20-29% full
T348
BSA 30-39% full
T349
BSA 40-49% full
T351
BSA 50-59% full
T790
T791
T792
BSA 60-39% full
BSA 70-79% full
BSA < 10% / unsp
T793
BSA 20-29% full
T794
T795
T796
T797
BSA 30-39% full
T798
BSA 40-49% full
T799
BSA 50-59% full
T8900
BSA 10-19% full
thck burns
Burns 80-89% BSA 60-69% full
thck burns
Burns 80-89% BSA 70-79% full
thck burns
Burns 80-89% BSA 80-89% full
thck burns
Burns =< 90% BSA < 10% / ? full
thck brn
Burns =< 90% BSA 10-19% full
thck burns
Burns => 90% BSA 20-29% full
thck burns
Burns => 90% BSA 30-39% full
thck burns
Burns => 90% BSA 40-49% full
thck burns
Burns => 90% BSA 50-59% full
thck burns
Burns => 90% BSA 60-69% full
thck burns
Burns => 90% BSA 70-79% full
thck burns
Burns => 90% BSA 80-89% full
thck burns
Burns => 90% BSA => 90% BSA
full thck
Frostbite with tissue necrosis of
head
Frostbite with tissue necrosis of
neck
Frostbite with tissue necrosis of
thorax
Frostbite with tissue necrosis of
abdominal wall, lower back and
pelvis
Frostbite with tissue necrosis of
arm
Frostbite with tissue necrosis of
wrist and hand
Frostbite with tissue necrosis of
hip and thigh
Frostbite with tissue necrosis of
knee and lower leg
Frostbite with tissue necrosis of
ankle and foot
Frostbite with tissue necrosis of
other and unspecified sites
Frostbite with tissue necrosis
involving multiple body regions
Air embolism (traumatic)
Fat embolism (traumatic)
Traumatic secondary & recurrent
haem
Post traumatic wound infection
NEC
Traumatic shock
Traumatic anuria
Traumatic ischaemia of muscle
Traumatic subcutaneous
emphysema
Other early complications of
trauma
Unspecified early complication of
trauma
Complications of open wounds
T8901
T8902
T8903
unsp
Open wound w FB (w or wo
infectn)
Open wound with infection
Other complications of open
wounds
Appendix D: Codes for Immunocompromised States
Used:
Death in Low-Mortality DRGs (PSI 2)
Failure to Rescue (PSI 4)
Selected Infection Due to Medical Care (PSI 7)
Postoperative Sepsis (PSI 13)
Postoperative Wound Dehiscence (PSI 14)
ICD-10-AM 5th edition Immunocompromised State diagnosis codes:
B20
HIV resulting in infect & parasitic dis
stature
B21
B22
HIV resulting in malignant
neoplasms
HIV resulting in other spec diseases
B230
Acute HIV infection syndrome
B238
B24
HIV resulting in other spec
conditions
Unspecified HIV disease
B59
Pneumocystosis (J17.3*)
D70
Agranulocytosis
D71
Fn disrd polymorphonuclear
neutrophils
Genetic anomalies of leukocytes
D720
D800
D801
D802
D803
D804
D805
D806
D807
D808
D809
D810
D811
D812
D823
D824
D828
D829
D830
Immunodef fol hered dfct respn to
EBV
Hyperimmunoglobulin E [IgE]
syndrome
Immunodef ass w oth spec major
defects
Immunodef ass w major defect unsp
D841
Com var immunodef predom abn
Bcell no fn
Com var immunodef predom I/r Tcell
disrd
Com var immunodef w auto- Ab B or
T cell
Other common variable
immunodeficiencies
Common variable immunodeficiency
unsp
Lymphocyte function antigen-1
defect
Defects in the complement system
D848
Other specified immunodeficiencies
D849
Immunodeficiency unspecified
D898
E40
Other spec disrd inv immune mechn
NEC
Disorder involving immune
mechanism unsp
Kwashiorkor
E41
Nutritional marasmus
E42
Marasmic kwashiorkor
E43
Unsp severe protein-energy maln
I120
Hypertensive renal dis w renal
failure
H/T heart & renal dis w renal failure
D831
D832
Hereditary
hypogammaglobulinaemia
Nonfamilial
hypogammaglobulinaemia
Selective deficiency of
immunoglobulin A
Selective deficiency of IgG
subclasses
Selective deficiency of
immunoglobulin M
Immunodeficiency with increased
IgM
Ab def nr norm Ig or
hyperimmunoglobem
Transient hypogammaglobulinaemia
infancy
Oth immunodef w predom antibody
defects
Immunodef w predom antibody
defects unsp
Sev cmb immunodef w reticlr
dysgenesis
Sev cmb immunodef w low T & B cell
no
Sev cmb immunodef w norm-low B
cell no
Nezelof's syndrome
D838
D839
D840
D899
I131
I132
K912
H/T heart & renal dis w heart renal
fail
Postprocedural malabsorption NEC
M359
Systemic inv connective tissue unsp
N180
End-stage renal disease
Major histocompat complex class I
def
Major histocompat complex class II
def
Other combined immunodeficiencies
N188
Other chronic renal failure
N1890
Unspecified chronic renal failure
N1891
Chronic renal impairment
T860
Bone marrow transplant rejection
D820
Combined immunodeficiency
unspecified
Wiskott-Aldrich syndrome
T861
Kidney transplant failure and
rejection
Heart transplant failure and rejection
D821
Di George's syndrome
T863
D822
Immunodeficiency w short limbed
D814
D816
D817
D818
D819
T862
Heart-lung transplant failure
rejection
T864
Liver transplant failure and rejection
Z940
Kidney transplant status
T8681
Failure and rejection of lung
transplant
Failure & rejection pancreas
transplant
Fail & rejct oth transplanted org tis
Z941
Heart transplant status
Z942
Lung transplant status
Z943
Heart and lungs transplant status
Z944
Liver transplant status
Z948
Oth transplanted organ and tissue
status
Dependence on renal dialysis
T8682
T8688
T869
Fail & rejection trnsplnt org tis unsp
Z490
Preparatory care for dialysis
Z491
Extracorporeal dialysis
Z492
Other dialysis
Z992
ICD-10-AM 5th edition Immunocompromised State procedure codes:
1370600 Allo bm/sc trnsplnt rel don wo in
1420301 Direct living tissue implantation
vitro
3650300 Renal transplantation
1370606 Allo bm/sc trnsplnt rel don w in
9017200 Sequential single lung trnsplnt bil
vitro
9017201 Other transplantation of lung
1370607 Autolgs bm/stem cel trnsplnt wo in
9020500 Heart transplantation
vitro
1370608 Autolgs bm/stem cell trnsplnt w in
9020501 Heart and lung transplantation
vitro
9031700 Transplantation of liver
1370609 Allo bm/sc trnsplnt oth don wo in
9032400 Transplantation of pancreas
vitro
1370610 Allo bm/sc trnsplnt oth don w in
vitro
Appendix E: Cancer Diagnosis Codes
Used:
Death in Low-Mortality DRGs (PSI 2)
Selected Infection Due to Medical Care (PSI 7)
Postoperative Sepsis (PSI 13)
ICD-10-AM 5th edition Cancer diagnosis codes:
C000
Malignant neoplasm of external
upper lip
C001
Malignant neoplasm of external
lower lip
C002
Malignant neoplasm external lip
unsp
C003
Malg neoplasm upper lip inner
aspect
C004
Malg neoplasm lower lip inner
aspect
C005
Malg neoplasm lip unsp inner
aspect
C006
Malignant neoplasm of
commissure of lip
C008
Overlapping malignant lesion of lip
C009
Malignant neoplasm of lip
unspecified
C01
Malignant neoplasm of base of
tongue
C020
Malg neoplasm dorsal surface of
tongue
C021
Malignant neoplasm of border of
tongue
C022
Malg neoplasm ventral surface
tongue
C023
Malg neoplasm ant tongue part
unsp
C024
Malignant neoplasm of lingual
tonsil
C028
Malg neoplasm overlapping lesion
tongue
C029
Malignant neoplasm tongue
unspecified
C030
Malignant neoplasm of upper gum
C031
Malignant neoplasm of lower gum
C039
Malignant neoplasm of gum
unspecified
C040
Malignant neoplasm ant floor of
mouth
C041
Malignant neoplasm lat floor of
mouth
C048
Overlapping malg lesion floor of
mouth
C049
Malg neoplasm of floor of mouth
unsp
C050
Malignant neoplasm of hard palate
C051
Malignant neoplasm of soft palate
C052
Malignant neoplasm of uvula
C058
Overlapping malignant lesion of
palate
C059
Malignant neoplasm of palate
unspecified
C060
Malignant neoplasm of cheek
mucosa
C061
Malignant neoplasm of vestibule of
mouth
C062
C068
C069
C07
C080
C081
C088
C089
C090
C091
C098
C099
C100
C101
C102
C103
C104
C108
C109
C110
C111
C112
C113
C118
C119
C12
C130
C131
C132
Malignant neoplasm of retromolar
area
Overlap malg lesion oth / unsp
mouth
Malignant neoplasm of mouth
unspecified
Malignant neoplasm of parotid
gland
Malignant neoplasm
submandibular gland
Malignant neoplasm of sublingual
gland
Overlapping malg lesion major sal
glands
Malg neoplasm major salivary
gland unsp
Malignant neoplasm of tonsillar
fossa
Malg neoplasm tonsillar pillar
Overlapping malignant lesion of
tonsil
Malignant neoplasm tonsil
unspecified
Malignant neoplasm of vallecula
Malg neoplasm ant surface
epiglottis
Malignant neoplasm lat wall
oropharynx
Malignant neoplasm post wall
oropharynx
Malignant neoplasm of branchial
cleft
Overlapping malignant lesion
oropharynx
Malignant neoplasm oropharynx
unsp
Malg neoplasm superior wall
nasophrynx
Malignant neoplasm post wall
nasopharynx
Malignant neoplasm lat wall
nasopharynx
Malignant neoplasm ant wall
nasopharynx
Overlapping malg lesion of
nasopharynx
Malignant neoplasm nasopharynx
unsp
Malignant neoplasm of pyriform
sinus
Malignant neoplasm of postcricoid
region
Malg neoplasm hypophrngl
aryepigltc fold
Malignant neoplasm post wall
hypopharynx
C138
C139
C140
C142
C148
C150
C151
C152
C153
C154
C155
C158
C159
C160
C161
C162
C163
C164
C165
C166
C168
C169
C170
C171
C172
C173
C178
C179
C180
C181
C182
C183
C184
C185
C186
C187
C188
Overlapping malignant lesion
hypopharynx
Malignant neoplasm hypopharynx
unsp
Malignant neoplasm pharynx
unspecified
Malignant neoplasm of Waldeyer
ring
Overlap malg neoplasm lip oral cv
phrynx
Malignant neoplasm cervical
oesophagus
Malignant neoplasm thoracic
oesophagus
Malignant neoplasm abdominal
oesophagus
Malg neoplasm upper third
oesophagus
Malg neoplasm middle third
oesophagus
Malg neoplasm lower third
oesophagus
Overlapping malignant lesion
oesophagus
Malignant neoplasm oesophagus
unsp
Malignant neoplasm of cardia
Malignant neoplasm of fundus of
stomach
Malignant neoplasm of body of
stomach
Malignant neoplasm of pyloric
antrum
Malignant neoplasm of pylorus
Malg neoplasm lesser curve
stomach unsp
Malg neoplasm greater curve
stomach unsp
Overlapping malignant lesion of
stomach
Malignant neoplasm stomach
unspecified
Malignant neoplasm of duodenum
Malignant neoplasm of jejunum
Malignant neoplasm of ileum
Malignant neoplasm Meckel's
diverticulum
Overlap malg lesion of small
intestine
Malignant neoplasm small
intestine unsp
Malignant neoplasm of caecum
Malignant neoplasm of appendix
Malignant neoplasm of ascending
colon
Malignant neoplasm of hepatic
flexure
Malignant neoplasm of transverse
colon
Malignant neoplasm of splenic
flexure
Malignant neoplasm of descending
colon
Malignant neoplasm of sigmoid
colon
Overlapping malignant lesion of
C189
C19
C20
C210
C211
C212
C218
C220
C221
C222
C223
C224
C227
C229
C23
C240
C241
C248
C249
C250
C251
C252
C253
C254
C257
C258
C259
C260
C261
C268
C269
C300
C301
C310
C311
C312
C313
C318
colon
Malg neoplasm of colon,
unspecified part
Malignant neoplasm rectosigmoid
junction
Malignant neoplasm of rectum
Malignant neoplasm of anus
unspecified
Malignant neoplasm of anal canal
Malignant neoplasm of cloacogenic
zone
Overlap malg lesion rectum anus
anal cnl
Liver cell carcinoma
Intrahepatic bile duct carcinoma
Hepatoblastoma
Angiosarcoma of liver
Other sarcomas of liver
Other specified carcinomas of liver
Malignant neoplasm of liver
unspecified
Malignant neoplasm of gallbladder
Malignant neoplm extrahepatic
bile duct
Malignant neoplasm of ampulla of
Vater
Overlapping malg lesion of biliary
tract
Malignant neoplasm biliary tract
unsp
Malignant neoplasm of head of
pancreas
Malignant neoplasm of body of
pancreas
Malignant neoplasm of tail of
pancreas
Malignant neoplasm of pancreatic
duct
Malignant neoplasm of endocrine
pancreas
Malignant neoplasm other parts
pancreas
Overlapping malignant lesion of
pancreas
Malignant neoplasm pancreas part
unsp
Malg neoplasm intest tract part
unsp
Malignant neoplasm of spleen
Overlap malg lesion of digestive
system
Malg neoplasm ill-def site digest
system
Malignant neoplasm of nasal
cavity
Malignant neoplasm of middle ear
Malignant neoplasm of maxillary
sinus
Malignant neoplasm of ethmoidal
sinus
Malignant neoplasm of frontal
sinus
Malignant neoplasm of sphenoidal
sinus
Overlap malg lesion of accessory
C319
C320
C321
C322
C323
C328
C329
C33
C340
C341
C342
C343
C348
C349
C37
C380
C381
C382
C383
C384
C388
C390
C398
C399
C400
C401
C402
C403
C408
C409
C4101
C4102
C411
C412
C413
C414
sinuses
Malignant neoplasm accessory
sinus unsp
Malignant neoplasm of glottis
Malignant neoplasm of
supraglottis
Malignant neoplasm of subglottis
Malignant neoplasm laryngeal
cartilage
Overlapping malignant lesion of
larynx
Malignant neoplasm larynx
unspecified
Malignant neoplasm of trachea
Malignant neoplasm of main
bronchus
Malg neoplm upper lobe bronchus
or lung
Malg neoplasm mid lobe bronchus
or lung
Malg neoplm lower lobe bronchus
or lung
Overlap malg lesion of bronchus &
lung
Malignant neoplasm bronchus or
lung unsp
Malignant neoplasm of thymus
Malignant neoplasm of heart
Malignant neoplasm anterior
mediastinum
Malignant neoplasm posterior
mediastinum
Malg neoplasm mediastinum, part
unsp
Malignant neoplasm of pleura
Overlap malg lsn heart mediast &
pleura
Malg neoplm upper resp tract part
unsp
Overlap malg lesion resp &
intrathor org
Malg neoplasm ill-def sites resp
system
Malg neoplasm scapula long bones
upp lmb
Malg neoplasm short bones upper
limb
Malignant neoplasm long bones
lower limb
Malg neoplasm short bones lower
limb
Overlap malg lesion bone artlr cart
limb
Malg neoplm bne & artlr cart limb
unsp
Malignant neoplasm of craniofacial
bones
Malignant neoplasm maxillofacial
bones
Malignant neoplasm of mandible
Malignant neoplasm of vertebral
column
Malignant neoplasm ribs sternum
clavicle
Malg neoplasm pelvic bones
sacrum coccyx
C418
C419
C430
C431
C432
C433
C434
C435
C436
C437
C438
C439
C450
C451
C452
C457
C459
C460
C461
C462
C463
C467
C468
C469
C470
C471
C472
C473
C474
C475
C476
C478
C479
C480
C481
C482
C488
C490
C491
C492
Overlap malignant lesion bone
artlr cart
Malg neoplm bne & artlr cartilage
unsp
Malignant melanoma of lip
Malg melanoma eyelid including
canthus
Malg melanoma ear & ext
auricular canal
Malg melanoma other & unsp
parts face
Malignant melanoma of scalp and
neck
Malignant melanoma of trunk
Malg melanoma upper limb incl
shoulder
Malignant melanoma lower limb
incl hip
Overlapping malignant melanoma
of skin
Malignant melanoma of skin
unspecified
Mesothelioma of pleura
Mesothelioma of peritoneum
Mesothelioma of pericardium
Mesothelioma of other sites
Mesothelioma unspecified
Kaposi sarcoma of skin
Kaposi sarcoma of soft tissue
Kaposi sarcoma of palate
Kaposi sarcoma of lymph nodes
Kaposi sarcoma of other sites
Kaposi sarcoma of multiple organs
Kaposi sarcoma unspecified
Malg neoplm perph nerve head
face & neck
Malg neoplm perph nerve upp lmb
shoulder
Malg neoplm perph nrv low limb
incl hip
Malg neoplasm peripheral nerves
thorax
Malg neoplasm peripheral nerves
abdomen
Malg neoplasm peripheral nerves
pelvis
Malg neoplasm perph nerves of
trunk unsp
Overlap malg lsn perph nrv aut
nrvs sys
Malg neoplm perph nrv & aut nrvs
sys ?
Malignant neoplasm of
retroperitoneum
Malg neoplasm spec parts of
peritoneum
Malignant neoplasm peritoneum
unsp
Overlap malg lsn retperitonm
peritoneum
Malg neoplm con & soft tis head
face nek
Malg neoplm con / soft tis upp lmb
shold
Malg neoplm con & soft tis low
C493
C494
C495
C496
C498
C499
C500
C501
C502
C503
C504
C505
C506
C508
C509
C510
C511
C512
C518
C519
C52
C530
C531
C538
C539
C540
C541
C542
C543
C548
C549
C55
C56
C570
C571
limb hip
Malg neoplasm con & soft tissue
thorax
Malg neoplasm con & soft tissue
abdomen
Malg neoplasm con & soft tissue
pelvis
Malg neoplasm con / soft tis trunk
unsp
Overlap malg lesion con & soft
tissue
Malg neoplasm con & soft tissue
unsp
Malignant neoplasm of nipple and
areola
Malg neoplasm of central portion
breast
Malg neoplasm upp inner quadrant
breast
Malg neoplasm low inner quadrant
breast
Malg neoplasm upp outer
quadrant breast
Malg neoplasm low outer quadrant
breast
Malignant neoplasm axillary tail
breast
Overlapping malignant lesion of
breast
Malignant neoplasm breast part
unsp
Malignant neoplasm of labium
majus
Malignant neoplasm of labium
minus
Malignant neoplasm of clitoris
Overlapping malignant lesion of
vulva
Malignant neoplasm of vulva
unspecified
Malignant neoplasm of vagina
Malignant neoplasm of endocervix
Malignant neoplasm of exocervix
Overlap malignant lesion cervix
uteri
Malignant neoplasm cervix uteri
unsp
Malignant neoplasm of isthmus
uteri
Malignant neoplasm of
endometrium
Malignant neoplasm of
myometrium
Malignant neoplasm of fundus
uteri
Overlap malignant lesion corpus
uteri
Malignant neoplasm corpus uteri
unsp
Malignant neoplasm uterus part
unsp
Malignant neoplasm of ovary
Malignant neoplasm of fallopian
tube
Malignant neoplasm of broad
ligament
C572
C573
C574
C577
C578
C579
C58
C600
C601
C602
C608
C609
C61
C620
C621
C629
C630
C631
C632
C637
C638
C639
C64
C65
C66
C670
C671
C672
C673
C674
C675
C676
C677
C678
C679
C680
C681
C688
Malignant neoplasm of round
ligament
Malignant neoplasm of
parametrium
Malignant neoplasm uterine
adnexa unsp
Malg neoplm other spec femle gen
organ
Overlap malg lesion female genital
organ
Malg neoplasm female genital
organ unsp
Malignant neoplasm of placenta
Malignant neoplasm of prepuce
Malignant neoplasm of glans penis
Malignant neoplasm of body of
penis
Overlapping malignant lesion of
penis
Malignant neoplasm of penis
unspecified
Malignant neoplasm of prostate
Malignant neoplasm of
undescended testis
Malignant neoplasm of descended
testis
Malignant neoplasm of testis
unspecified
Malignant neoplasm of epididymis
Malignant neoplasm of spermatic
cord
Malignant neoplasm of scrotum
Other specified male genital
organs
Overlap malg lesion male genital
organs
Malg neoplasm male genital organ
unsp
Malg neoplasm kidney except
renal pelvis
Malignant neoplasm of renal pelvis
Malignant neoplasm of ureter
Malignant neoplasm of trigone of
bladder
Malignant neoplasm of dome of
bladder
Malignant neoplasm lateral wall
bladder
Malignant neoplasm anterior wall
bladder
Malg neoplasm of posterior wall
bladder
Malignant neoplasm of bladder
neck
Malignant neoplasm of ureteric
orifice
Malignant neoplasm of urachus
Overlapping malignant lesion of
bladder
Malignant neoplasm of bladder
unsp
Malignant neoplasm of urethra
Malignant neoplasm of
paraurethral gland
Overlap malignant lesion urinary
organs
C689
C690
C691
C692
C693
C694
C695
C696
C698
C699
C700
C701
C709
C710
C711
C712
C713
C714
C715
C716
C717
C718
C719
C720
C721
C722
C723
C724
C725
C728
C729
C73
C740
C741
C749
C750
C751
C752
Malignant neoplasm urinary organ
unsp
Malignant neoplasm of conjunctiva
Malignant neoplasm of cornea
Malignant neoplasm of retina
Malignant neoplasm of choroid
Malignant neoplasm of ciliary body
Malignant neoplasm lacrimal gland
& duct
Malignant neoplasm of orbit
Overlap malignant lesion eye &
adnexa
Malignant neoplasm of eye
unspecified
Malignant neoplasm of cerebral
meninges
Malignant neoplasm of spinal
meninges
Malignant neoplm of meninges,
unsp
Malg neoplasm cerebrum ex lobes
& ventrl
Malignant neoplasm of frontal lobe
Malignant neoplasm of temporal
lobe
Malignant neoplasm of parietal
lobe
Malignant neoplasm of occipital
lobe
Malignant neoplasm of cerebral
ventricle
Malignant neoplasm of cerebellum
Malignant neoplasm of brain stem
Overlapping malignant lesion of
brain
Malignant neoplasm of brain
unspecified
Malignant neoplasm of spinal cord
Malignant neoplasm of cauda
equina
Malignant neoplasm of olfactory
nerve
Malignant neoplasm of optic nerve
Malignant neoplasm of acoustic
nerve
Malg neoplasm oth / unsp cranial
nerves
Overlap malg lesion brain & other
CNS
Malignant neoplasm CNS
unspecified
Malignant neoplasm of thyroid
gland
Malignant neoplasm cortex
adrenal gland
Malignant neoplasm medulla
adrenal gland
Malignant neoplasm adrenal gland
unsp
Malignant neoplasm of parathyroid
gland
Malignant neoplasm of pituitary
gland
Malignant neoplasm
craniopharyngeal duct
C753
C754
C755
C758
C759
C760
C761
C762
C763
C764
C765
C767
C768
C770
C771
C772
C773
C774
C775
C778
C779
C780
C781
C782
C783
C784
C785
C786
C787
C788
C790
C791
C792
C793
C794
C795
Malignant neoplasm of pineal
gland
Malignant neoplasm of carotid
body
Malg neoplm aortic body oth
paraganglia
Malg neoplasm pluriglandular inv
unsp
Malignant neoplasm endocrine
gland unsp
Malignant neoplasm head face &
neck
Malignant neoplasm of thorax
Malignant neoplasm of abdomen
Malignant neoplasm of pelvis
Malignant neoplasm of upper limb
Malignant neoplasm of lower limb
Malignant neoplasm other ill-def
sites
Overlap malg lesion oth & ill-def
sites
Sec / unsp neoplm lymph n head
fce neck
Sec / unsp neoplm intrathor
lymph n
Sec / unsp neoplm intrabdo lymph
n
Sec / unsp neoplm axil upp lmb
lymph n
Sec / unsp neoplm ing & low limb
lymph n
Sec / unsp neoplm intrapelvic
lymph n
Sec / unsp neoplm lymph n mult
region
Sec / unsp neoplm unsp lymph
node
Secondary malignant neoplasm of
lung
Sec malignant neoplasm
mediastinum
Secondary malignant neoplasm of
pleura
Sec malg neoplasm oth / unsp
resp organ
Sec malignant neoplasm small
intestine
Sec malg neoplm large intestine &
rectum
Sec malg neoplm retperitonm &
peritoneum
Secondary malignant neoplasm of
liver
Sec malg neoplasm oth / unsp
digest org
Sec malg neoplasm kidney & renal
pelvis
Sec neoplm bladder oth / unsp
urin org
Secondary malignant neoplasm of
skin
Sec malg neoplm brain cerebral
meninges
Sec malg neoplasm oth / unsp
nrvs system
Sec malg neoplasm bone & bone
C796
C797
C7981
C7982
C7988
C80
C810
C811
C812
C813
C817
C819
C820
C821
C822
C827
C829
C830
C831
C832
C833
C834
C835
C836
C837
C838
C839
C840
C841
C842
C843
C844
C845
C850
C851
C857
C859
C8800
C8801
C8810
C8811
C8820
C8821
C8830
marrow
Secondary malignant neoplasm of
ovary
Sec malignant neoplasm adrenal
gland
Secondary malignant neoplasm of
breast
Sec malignant neoplasm genital
organs
Sec malignant neoplasm other
spec sites
Malignant neoplasm wo site
specification
Hodgkin dis lymphocytic
predominance
Hodgkin disease nodular sclerosis
Hodgkin disease mixed cellularity
Hodgkin disease lymphocytic
depletion
Other Hodgkin disease
Hodgkin disease unspecified
Small cleaved cell follicular NHL
Mixed small cleaved large cell fol
NHL
Large cell follicular NHL
Other types follicular NHL
Follicular NHL unspecified
Small cell (diffuse) NHL
Small cleaved cell (diffuse) NHL
Mixed small & large cell (diffuse)
NHL
Large cell (diffuse) NHL
Immunoblastic (diffuse) NHL
Lymphoblastic (diffuse) NHL
Undifferentiated (diffuse) NHL
Burkitt tumour
Other types diffuse NHL
Diffuse NHL unspecified
Mycosis fungoides
Sézary disease
T-zone lymphoma
Lymphoepithelioid lymphoma
Peripheral T-cell lymphoma
Other and unspecified T-cell
lymphomas
Lymphosarcoma
B-cell lymphoma unspecified
Other specified types of NHL
NHL unspecified type
Waldenström macroglobulinaemia
wo rem
Waldenström macroglobulinaemia
in rem
Alpha heavy chain disease wo
remission
Alpha heavy chain disease in
remission
Gamma heavy chain disease wo
remission
Gamma heavy chain disease in
remission
Immunoproliferative sm intest dis
wo rem
C8831
C8870
C8871
C8890
C8891
C9000
C9001
C9010
C9011
C9020
C9021
C9100
C9101
C9110
C9111
C9120
C9121
C9130
C9131
C9140
C9141
C9150
C9151
C9170
C9171
C9190
C9191
C9200
C9201
C9210
C9211
C9220
C9221
C9230
C9231
Immunoproliferative sm intest dis
in rem
Oth malg immunoproliferative dis
wo rem
Oth malg immunoproliferative dis
in rem
Unsp immunoproliferative dis wo
rem
Unsp immunoproliferative dis in
rem
Multiple myeloma without
remission
Multiple myeloma in remission
Plasma cell leukaemia wo
remission
Plasma cell leukaemia in remission
Plasmacytoma extramedullary wo
remission
Plasmacytoma extramedullary in
rem
Acute lymphoblastic leukaemia wo
rem
Acute lymphoblastic leukaemia in
rem
Chronic lymphocytic leukaemia wo
rem
Chronic lymphocytic leukaemia in
rem
Subacute lymphocytic leukaemia
wo rem
Subacute lymphocytic leukaemia
in rem
Prolymphocytic leukaemia wo
remission
Prolymphocytic leukaemia in
remission
Hairy-cell leukaemia without
remission
Hairy-cell leukaemia in remission
Adult T-cell leukaemia without
remission
Adult T-cell leukaemia in
remission
Other lymphoid leukaemia wo
remission
Other lymphoid leukaemia in
remission
Lymphoid leukaemia unsp wo
remission
Lymphoid leukaemia unsp in
remission
Acute myeloid leukaemia wo
remission
Acute myeloid leukaemia in
remission
Chronic myeloid leukaemia wo
remission
Chronic myeloid leukaemia in
remission
Subacute myeloid leukaemia wo
remission
Subacute myeloid leukaemia in
remission
Myeloid sarcoma without
remission
Myeloid sarcoma in remission
C9240
C9241
C9250
C9251
C9270
C9271
C9290
C9291
C9300
C9301
C9310
C9311
C9320
C9321
C9370
C9371
C9390
C9391
C9400
C9401
C9410
C9411
C9420
C9421
C9430
C9431
C9440
C9441
C9450
Acute promyelocytic leukaemia wo
rem
Acute promyelocytic leukaemia in
rem
Acute myelomonocytic leukaemia
wo rem
Acute myelomonocytic leukaemia
in rem
Other myeloid leukaemia wo
remission
Other myeloid leukaemia in
remission
Myeloid leukaemia unsp wo
remission
Myeloid leukaemia unsp in
remission
Acute monocytic leukaemia wo
remission
Acute monocytic leukaemia in
remission
Chronic monocytic leukaemia wo
remission
Chronic monocytic leukaemia in
remission
Subacute monocytic leukaemia wo
rem
Subacute monocytic leukaemia in
rem
Other monocytic leukaemia wo
remission
Other monocytic leukaemia in
remission
Monocytic leukaemia unsp wo
remission
Monocytic leukaemia unsp in
remission
Ac erythraemia &
erythroleukaemia wo rem
Ac erythraemia &
erythroleukaemia in rem
Chronic erythraemia without
remission
Chronic erythraemia in remission
Acute megakaryoblastic leukaemia
wo rem
Acute megakaryoblastic leukaemia
in rem
Mast cell leukaemia without
remission
Mast cell leukaemia in remission
Acute panmyelosis without
remission
Acute panmyelosis in remission
Acute myelofibrosis without
remission
C9451
C9470
C9471
C9500
C9501
C9510
C9511
C9520
C9521
C9570
C9571
C9590
C9591
C960
C961
C962
C963
C967
C969
Z850
Z851
Z852
Z853
Z854
Z855
Z856
Z857
Z858
Z859
Acute myelofibrosis in remission
Other specified leukaemias wo
remission
Other specified leukaemias in
remission
Acute leukaemia unsp cell type wo
rem
Acute leukaemia unsp cell type in
rem
Chr leukaemia unsp cell type wo
rem
Chr leukaemia unsp cell type in
rem
Subac leukaemia unsp cell type
wo rem
Subac leukaemia unsp cell type in
rem
Oth leukaemia of unsp cell type
wo rem
Oth leukaemia of unsp cell type in
rem
Leukaemia unspecified without
remission
Leukaemia unspecified in
remission
Letterer-Siwe disease
Malignant histiocytosis
Malignant mast cell tumour
True histiocytic lymphoma
Other spec neoplm lymphoid,
haemat & tis
Neoplasm lymphoid haemat tissue
unsp
Persl h/o malg neoplasm digestive
organs
Persl h/o malg neoplasm trach
bronc lung
Persl h/o malg neoplasm oth resp
organ
Persl h/o malignant neoplasm of
breast
Persl h/o malignant neoplasm
genital org
Persl h/o malg neoplasm urinary
tract
Personal history of leukaemia
Persl h/o oth malg neoplasm
lymph haemat
Persl h/o malg neoplm oth organ
& system
Personal history of malg neoplasm
unsp
Appendix G: Haemorrhage Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Pysiologic and Metabolic Derangement (PSI 10)
ICD-10-AM 5th edition Haemorrhage diagnosis codes:
D62
Acute posthaemorrhagic anaemia
R58
Haemorrhage not elsewhere
classified
T792
Traumatic secondary & recurrent
haem
T810
Haem & haematoma comp a
procedure NEC
Appendix H: Shock Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Pysiologic and Metabolic Derangement (PSI 10)
ICD-10-AM 5th edition Shock diagnosis codes:
A483
Toxic shock syndrome
O030
Spont abortn incomp complic pelv
infectn
O033
Spont abortion incomp oth / unsp
comp
O035
Spont abortn compl / unsp w pelv
infectn
O038
Spont abortn compl unsp w unsp
comp
O040
Medical abortn incomp w pelv
infectn
O043
Med abortion incomp w oth / unsp
comp
O045
Med abortion compl unsp w pelv
infectn
O048
Med abortion complete or unsp oth
comp
O050
Oth abortn incomp w pelv infectn
O053
Oth abortion incomp w oth & unsp
comp
O055
Oth abortn compl unsp w pelv
infectn
O058
Oth abortn complete or unsp w oth
comp
O060
Unsp abortn incomp w pelv infectn
O063
Unsp abortn incomp w oth & unsp
comp
O065
Unsp abortn compl / unsp w pelv
infectn
O068
Unsp abortn compl / unsp w oth
comp
O070
O073
O075
O078
O080
O083
O751
R570
R571
R578
R579
T780
T782
T805
T811
T882
T886
Failed medical abortn w pelv
infectn
Failed med abortion w other &
unsp comp
Oth unsp fail attempt abortn w
infectn
Oth unsp fail attempt abortn oth
comp
Infectn foll abortn ectop molar
preg
Shock foll abortn ectop molar
pregnancy
Shock during or foll labour &
delivery
Cardiogenic shock
Hypovolaemic shock
Other shock
Shock unspecified
Anaphylactic shock dt adv food
react
Anaphylactic shock unspecified
Anaphylactic shock due to serum
Shock during or due to a
procedure NEC
Shock due to anaesthesia
Anaphyl shk dt adv eff drug proper
admin
Appendix I: Gastrointestinal (GI) Haemorrhage Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Pysiologic and Metabolic Derangement (PSI 10)
ICD-10-AM 5th edition Gastrointestinal (GI) Haemorrhage
I850
Oesophageal varices with bleeding
I9821
Oesophageal varices in dis cl/e w
bleed
K226
Gastro-oesophageal lacerationhaem syndr
K250
Gastric ulcer acute with
haemorrhage
K252
Acute gastric ulcer w haem &
perforation
K254
Chronic or unsp gastric ulcer w
haem
K256
Chr or unsp gastrc ulcer w haem &
perf
K260
Duodenal ulcer acute with
haemorrhage
K262
Acute duodenal ulcer w haem &
perf
K264
Chronic or unsp duodenal ulcer w
haem
K266
Duodenal ulcer chr / unsp w haem
& perf
K270
Peptic ulcer acute with
haemorrhage
K272
Acute peptic ulcer with haem & perf
K274
Chronic or unsp peptic ulcer w
haem
K276
Chr or unsp peptic ulcer w haem &
perf
K280
Acute gastrojejunal ulcer w
haemorrhage
K282
Acute gastrojejunal ulcer w haem &
perf
K284
Gastrojejunal ulcer chr or unsp w
haem
K286
Gastjejnl ulcer chr / unsp w haem &
perf
K290
Acute haemorrhagic gastritis
K3182
Angiodysplasia w haemorrhage
K5522
Angiodysplasia of colon with
haemorrhage
diagnosis codes:
K5701
Divertic sm intestine w haem perf &
abs
K5703
Diverlitis sm intest w haem perf &
abs
K5711
Divertic sm intest wo perf abs w
haem
K5713
Diverlitis sm intest wo perf abs w
haem
K5721
Divertic large intest w haem perf &
abs
K5723
Diverlitis lrg intest w haem perf &
abs
K5731
Divertic lrg intest wo perf abs w
haem
K5733
Diverlitis lrg intest wo perf abs w
haem
K5741
Divertic both intest w haem perf &
abs
K5743
Diverlitis both intest w haem perf &
abs
K5751
Divertic both intest wo perf abs w
haem
K5753
Diverlitis bth intest wo perf abs w
haem
K5781
Divertic intest unsp w haem perf &
abs
K5783
Diverlitis intest unsp w haem perf &
abs
K5791
Divertic intest unsp wo perf abs w
haem
K5793
Diverlitis intest ? wo perf abs w
haem
K920
Haematemesis
K921
Melaena
K922
Gastrointestinal haemorrhage unsp
P540
Neonatal haematemesis
P541
Neonatal melaena
P543
Oth neonatal gastrointestinal haem
Appendix J: Trauma DRGs
Used:
Failure to Rescue (PSI 4)
Postoperative Hip Fracture (PSI 8)
AR-DRG version 5.1 Trauma DRGs:
H01A
Pancreas, Liver and Shunt
procedures w cat CC
H01B
Pancreas, Liver and Shunt
procedures w/o cat CC
D65Z
Nasal Trauma and Deformity
E66A
Major Chest Trauma Age >69 W CC
E66B
Major Chest Trauma Age >69 or W
CC
E66C
Major Chest Trauma Age <70 W/O
CC
I05Z
Other Major Joint Replacement and
Limb Reattachment Procedures
I30Z
Hand Procedures
I60Z
Femoral Shaft Fractures
I61Z
Distal Femoral Fractures
I63Z
Sprains, Strains and Dislocations of
Hip, Pelvis and Thigh
I77A
Fractures of Pelvis W Catastrophic or
Severe CC
I77B
Fractures of Pelvis W/O Catastrophic
or Severe CC
I78A
Fractures of Neck of Femur W
Catastrophic or Severe CC
I78B
Fractures of Neck of Femur W/O
Catastrophic or Severe CC
W01Z
Ventilation or Craniotomy Procs for
Multiple Significant Trauma
W02Z
Hip, Femur and Limb Procs for
Multiple Significant Trauma, incl
Implantation
W04Z
Other O.R. Procedures for Multiple
Significant Trauma
W04Z
Other O.R. Procedures for Multiple
Significant Trauma
W04Z
Other O.R. Procedures for Multiple
Significant Trauma
W60Z
Multiple Trauma, Died or Transf to
Another Acute Care Facility, LOS<5
Days
W61Z
Multiple Trauma Without Significant
Procedures
Y01Z
Severe Full Thickness Burns
Y02A
Other Burns W Skin Graft Age >64
or W (Cat or Sev CC) or W
Complicating Proc
Y02B
Other Burns W Skin Graft Age <65
W/O (Cat or Sev CC) W/O
Complicating Proc
Y03Z
Other O.R. Procedures for Other
Burns
Y60Z
Burns, Transferred to Another Acute
Care Facility < 5 Days
Y61Z
Severe Burns
Y61Z
Severe Burns
Y62A
Other Burns Age >64 or W (Cat or
Sev CC) or W Complicating Proc
Y62B
W03Z
X02Z
X04A
X04B
X05Z
X06A
X06B
X07A
X07B
X60A
X60B
X60C
X61Z
X62A
X62B
X63A
X63B
X64A
X64B
B78A
B78B
B79Z
B80Z
C01Z
C62Z
I74A
I74B
I74C
I75A
I75B
Other Burns Age <65 W/O (Cat or
Sev CC) W/O Complicating Proc
Abdominal procedures for multiple
significant trauma
Microvascular tissue transfer or skin
grafts for injuries to hand
Other procedures for injuries to
lower limb age >59 or w CC
Other procedures for injuries to
lower limb age <60 w/o CC
Other procedures for injuries to hand
Other Procedures for Other Injuries
W Catastrophic or Severe CC
Other Procedures for Other Injuries
W/O Catastrophic or Severe CC
Skin Graft for Injuries Ex Hand W
Microvascular Tiss Tfr or W (Cat or
Sev CC)
Skin Graft for Injuries Ex Hand W/O
Microvascular Tiss Tfr W/O Cat or
Sev CC
Injuries Age >64 W CC
Injuries Age >64 W/O CC
Injuries Age <65
Allergic Reactions
Poisoning/Toxic Effects of Drugs &
Other Substances Age >59 or W CC
Poisoning/Toxic Effects of Drugs &
Other Substances Age <60 W/O CC
Sequelae of Treatment W
Catastrophic or Severe CC
Sequelae of Treatment W/O
Catastrophic or Severe CC
Other Injury, Poisoning and Toxic
Effect Diagnosis Age >59 or W CC
Other Injury, Poisoning and Toxic
Effect Diagnosis Age <60 W/O CC
Intracranial Injury W Catastrophic or
Severe CC
Intracranial Injury W/O Catastrophic
or Severe CC
Skull Fractures
Other Head Injury
Procedures for Penetrating Eye
Injury
Hyphema and Medically Managed
Trauma to the Eye
Injury to Forearm, Wrist, Hand or
Foot Age >74 W CC
Injury to Forearm, Wrist, Hand or
Foot Age >74 or W CC
Injury to Forearm, Wrist, Hand or
Foot Age <75 W/O CC
Injury to Shoulder, Arm, Elbow,
Knee, Leg or Ankle Age >64 W CC
Injury to Shoulder, Arm, Elbow,
Knee, Leg or Ankle Age >64 or W CC
I75C
J65A
Injury to Shoulder, Arm, Elbow,
Knee, Leg or Ankle Age <65 W/O CC
Trauma to the Skin, Subcutaneous
Tissue and Breast Age >69
J65B
Trauma to the Skin, Subcutaneous
Tissue and Breast Age <70
Appendix K: Pulmonary Embolism/Deep Vein Thrombosis Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Pulmonary Embolism or Deep Vein Thrombsis (PSI 12)
ICD-10-AM 5th edition Pulmonary Embolism/Deep Vein Thrombosis diagnosis codes:
I260
Pulm embolism w acute cor
I809
Phlebitis & thrombophlebitis unsp
pulmonale
site
I269
Pulm embolism wo acute cor
I828
Embolism & thrombosis other spec
pulmonale
veins
I801
Phlebitis & thrombophleb femoral
I829
Embolism & thrombosis of unsp vein
vein
O882
Obstetric blood clot embolism
I802
Phleb & thrombophleb oth deep vesl
legs
I803
Phleb & thrombophlebitis legs unsp
Appendix L: Self-Inflicted Injury Diagnosis Codes
Used:
Complications of Anaesthesia (PSI 1)
Postoperative Hip Fracture (PSI 8)
ICD-10-AM 5th edition Self-Inflicted Injury diagnosis codes:
X60
Intent self poisn anlgsc antipyr
antirhm
X743
X61
Intent selfpoison antiep sed-hyp
psytrp
X744
X62
Intent selfpoison narc psychdyslpt
NEC
X749
X63
Intent selfpoison oth aut nrv sys dr
X64
Intent selfpoison oth & unsp dr biol
X75
sub
X65
Intentional selfpoisoning alcohol
X76
X66
Intent selfpoison orgnc solv hydcarb
X77
X670
Intent selfpoison motor vehicle
exhaust
X780
X671
Intent selfpoison LPG
X781
X672
Intent selfpoison oth spec utility gas
X782
X678
Intent selfpoison oth spec gas /
vapours
X783
X679
Intent selfpoison ?gas or vapours
X788
X68
Intentional selfpoison pesticides
X789
X69
Intent selfpoison oth unsp chem nox
X79
sub
X700
Intentional self-harm by hanging
X80
X701
Intentional self-harm by
X81
strangulation
X702
Intentional self-harm by suffocation
X820
X710
Int selfharm drwn & submrs bathX821
tub
X711
Int selfharm drwn & submrs swimX822
pool
X823
X712
Int selfharm drwn & submrs natural
X824
wtr
X825
X718
Int selfharm drwn & submrs oth
X828
spec wtr
X829
X719
Int selfharm drwn & submrs ? wtr
X83
X72
Intentional selfharm by handgun
disch
X84
X741
Intentional self-harm by air rifle
disch
X742
Intentional self-harm by shotgun
disch
Intent self-harm sm calibre rifle
disch
Intent self-harm lrg calibre rifle
disch
Intent self-harm oth & ? firearm
disch
Intent selfharm by explosive
material
Intent selfharm by smoke fire &
flames
Intent selfharm steam vapour hot
obj
Int selfharm by knife
Int selfharm by razor blade
Int selfharm by hypdrmc needle &
syrge
Int selfharm by glass
Int selfharm by oth spec sharp obj
Int selfharm by ?sharp obj
Intentional selfharm by blunt object
Intent selfharm jump from a high
place
Intent selfharm - before moving
object
Intent self-harm crsh car w MV ntrf
Intent slfhrm crsh statnry obj ntrf
Intent slfhrm oth spec crsh MV ntrf
Intent slfhrm ? crsh MV ntrf
Intent slfhrm crsh car w oth MV trf
Intent slfhrm crsh car statnry objtrf
Intent slfhrm oth spec crsh MV trf
Intent slfhrm ? crsh MV trf
Intentional selfharm by oth spec
means
Intentional selfharm by unsp means
Appendix M: Acute Myocardial Infarction (AMI) Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Physiologic and Metabolic Derangement (PSI 10)
ICD-10-AM 5th edition Acute Myocardial Infaction (AMI) diagnosis codes:
I210
Acute transmural MI of anterior wall
I220
Subsequent myocardial
anterior wall
I211
Acute transmural MI of inferior wall
I221
Subsequent myocardial
I212
Acute transmural MI of other sites
inferior wall
I213
Acute transmural MI of unspecified
I228
Subsequent myocardial
site
other sites
I214
Acute subendocardial MI
I229
Subsequent myocardial
I219
Acute myocardial infarction
unspecified sites
unspecified
infarction of
infarction of
infarction of
infarction of
Appendix N: Cardiac Arrhythmia Diagnosis Codes
Used:
Failure to Rescue (PSI 4)
Postoperative Physiologic and Metabolic Derangement (PSI 10)
ICD-10-AM 5th edition Cardiac Arrhythmia diagnosis codes:
I442
Atrioventricular block complete
I48
I471
Supraventricular tachycardia
I490
I472
Ventricular tachycardia
I499
I479
Paroxysmal tachycardia unspecified
Atrial fibrillation and flutter
Ventricular fibrillation and flutter
Cardiac arrhythmia unspecified
Appendix O: Sepsis Diagnosis Codes
Used:
Postoperative Sepsis (PSI 13)
ICD-10-AM 5th edition Sepsis diagnosis codes:
A400
Sepsis dt streptococcus group A
A401
Sepsis dt streptococcus group B
A402
Sepsis dt streptococcus group D
A403
Sepsis dt Streptococcus pneumoniae
A408
Other streptococcal sepsis
A409
Streptococcal sepsis unspecified
A410
Sepsis due to Staphylococcus
aureus
A411
Sepsis dt other spec staphylococcus
A412
Sepsis due to unsp staphylococcus
A413
Sepsis dt Haemophilus influenzae
A414
Sepsis due to anaerobes
A4150
A4151
A4152
A4158
A418
A419
R571
R578
R579
T811
Sepsis dt unsp Gram neg organisms
Sepsis dt Escherichia coli (E coli)
Sepsis due to Pseudomonas
Sepsis dt other gram neg organisms
Other specified sepsis
Sepsis, unspecified
Hypovolaemic shock
Other shock
Shock unspecified
Shock during or due to a procedure
NEC
Appendix P: Infection Diagnosis Codes and DRGs
Used:
Failure to Rescue (PSI 4)
Postoperative Sepsis (PSI 13)
ICD-10-AM 5th edition Sepsis diagnosis codes:
A000
Cholera dt 01 biovar cholerae
A001
Cholera dt biovar eltor
A009
Cholera unspecified
A010
Typhoid fever
A011
Paratyphoid fever A
A012
Paratyphoid fever B
A013
Paratyphoid fever C
A014
Paratyphoid fever unspecified
A020
Salmonella enteritis
A021
Salmonella sepsis
A022
Localised salmonella infections
A028
Other specified salmonella infections
A029
Salmonella infection unspecified
A030
Shigellosis due to Shigella
dysenteriae
A031
Shigellosis due to Shigella flexneri
A032
Shigellosis due to Shigella boydii
A033
Shigellosis due to Shigella sonnei
A038
Other shigellosis
A039
Shigellosis unspecified
A040
Enteropathogenic E coli infection
A041
Enterotoxigenic E coli infection
A042
Enteroinvasive E coli infection
A043
Enterohaemorrhagic E coli infection
A044
Other E coli infection
A045
Campylobacter enteritis
A046
Enteritis due to Yersinia
enterocolitica
A047
Enterocolitis dt Clostridium difficile
A048
Other spec bacterial intestinal
infectn
A049
Bacterial intestinal infection unsp
A050
Food-borne staphylococcal
intoxication
A051
Botulism
A052
Food-borne intox dt C. perfringens
A053
Food-borne intox dt Vib
parahaemolyticus
A054
Food-borne Bacillus cereus
intoxication
A058
Other spec bacterial food-borne
intox
A059
Bacterial food-borne intoxication
unsp
A200
Bubonic plague
A201
Cellulocutaneous plague
A202
Pneumonic plague
A203
Plague meningitis
A207
Septicaemic plague
A208
Other forms of plague
A209
Plague unspecified
A210
Ulceroglandular tularaemia
A211
A212
A213
A217
A218
A219
A220
A221
A222
A227
A228
A229
A230
A231
A232
A233
A238
A239
A240
A241
A242
A243
A244
A250
A251
A259
A260
A267
A268
A269
A280
A281
A282
A288
A289
A320
A321
A327
A328
A329
A33
A34
A35
A360
A361
A362
A363
Oculoglandular tularaemia
Pulmonary tularaemia
Gastrointestinal tularaemia
Generalised tularaemia
Other forms of tularaemia
Tularaemia unspecified
Cutaneous anthrax
Pulmonary anthrax
Gastrointestinal anthrax
Anthrax sepsis
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
Acute and fulminating melioidosis
Subacute and chronic melioidosis
Other melioidosis
Melioidosis unspecified
Spirillosis
Streptobacillosis
Rat-bite fever unspecified
Cutaneous erysipeloid
Erysipelothrix sepsis
Other forms of erysipeloid
Erysipeloid unspecified
Pasteurellosis
Cat-scratch disease
Extraintestinal yersiniosis
Other spec zoonotic bacterial dis
NEC
Zoonotic bacterial disease
unspecified
Cutaneous listeriosis
Listerial meningitis
meningoencephalitis
Listerial sepsis
Other forms of listeriosis
Listeriosis unspecified
Tetanus neonatorum
Obstetrical tetanus
Other tetanus
Pharyngeal diphtheria
Nasopharyngeal diphtheria
Laryngeal diphtheria
Cutaneous diphtheria
A368
A369
A370
A371
A378
A379
A38
A390
A391
A392
A393
A394
A395
A398
A399
A400
A401
A402
A403
A408
A409
A410
A411
A412
A413
A414
A4150
A4151
A4152
A4158
A418
A419
A420
A421
A422
A427
A428
A429
A430
A431
A438
A439
A46
A480
A481
A482
A483
A484
A488
A490
A491
A492
A493
A498
Other diphtheria
Diphtheria unspecified
Whooping cough dt Bordetella
pertussis
Whooping cough dt Bordetella
parapertuss
Whooping cough dt oth Bordetella
species
Whooping cough unspecified
Scarlet fever
Meningococcal meningitis
Waterhouse-Friderichsen syndrome
Acute meningococcaemia
Chronic meningococcaemia
Meningococcaemia unspecified
Meningococcal heart disease
Other meningococcal infections
Meningococcal infection unspecified
Sepsis dt streptococcus group A
Sepsis dt streptococcus group B
Sepsis dt streptococcus group D
Sepsis dt Streptococcus pneumoniae
Other streptococcal sepsis
Streptococcal sepsis unspecified
Sepsis due to Staphylococcus
aureus
Sepsis dt other spec staphylococcus
Sepsis due to unsp staphylococcus
Sepsis dt Haemophilus influenzae
Sepsis due to anaerobes
Sepsis dt unsp Gram neg organisms
Sepsis dt Escherichia coli (E coli)
Sepsis due to Pseudomonas
Sepsis dt other gram neg organisms
Other specified sepsis
Sepsis, unspecified
Pulmonary actinomycosis
Abdominal actinomycosis
Cervicofacial actinomycosis
Actinomycotic sepsis
Other forms of actinomycosis
Actinomycosis unspecified
Pulmonary nocardiosis
Cutaneous nocardiosis
Other forms of nocardiosis
Nocardiosis unspecified
Erysipelas
Gas gangrene
Legionnaires' disease
Nonpneumonic Legionnaires' disease
Toxic shock syndrome
Brazilian purpuric fever
Other specified bacterial diseases
Staphylococcal infection unspecified
Streptococcal infection unspecified
Haemophilus influenzae infection
unsp
Mycoplasma infection unspecified
Other bacterial infections of unsp
A499
A540
A541
A542
A543
A544
A545
A546
A548
A549
B471
B479
B950
B951
B952
B953
B9541
B9542
B9548
B955
B956
B957
B958
B960
B961
B962
B9631
B9638
B9639
B964
B965
B966
B967
B9681
B9688
D733
E321
G000
site
Bacterial infection unspecified
Low GU gon infectn wo abs acc
periur gld
Low GU gon infectn w abs acc periur
gld
Gon pelviperitonitis & oth gon GU
infect
Gonococcal infection of eye
Gonococcal infectn musculoskeletal
sys
Gonococcal pharyngitis
Gonococcal infection of anus and
rectum
Other gonococcal infections
Gonococcal infection unspecified
Actinomycetoma
Mycetoma unspecified
Grp A strep cause dis class to oth
chptr
Grp B strep cause dis class to oth
chptr
Grp D strep cause dis class to oth
chptr
Strep pneum caus dis class oth
chptr
Strep grp C cause dis class to oth
chptr
Strep grp G cause dis class to oth
chptr
Strep spec grp cause dis class oth
chptr
Unsp strep cause dis class to oth
chptr
Staph aureus cause dis class oth
chptr
Other staph cause dis class to oth
chptr
Unsp staph cause dis class to oth
chptr
M. pneumoniae cause dis class oth
chptr
K. pneumoniae cause dis class oth
chptr
E coli cause dis class to oth chptr
H. influenzae type B cause dis oth
chptr
H. influenzae spec causing dis oth
chptr
H. influenzae unsp cause dis oth
chptr
Proteus causing disease in other
chptr
Pseudomonas cause dis class to oth
chptr
B. fragilis cause dis class to oth
chptr
C. perfringens cause dis class oth
chptr
H. pylori causing dis oth chptr
Oth & unsp bact agt cause dis oth
chptr
Abscess of spleen
Abscess of thymus
Haemophilus meningitis
G001
G002
G003
G008
G009
G01
G038
G039
G042
G050
G060
G061
G062
G07
H000
H010
H018
H040
H043
H050
H100
H102
H103
H105
H108
H109
H131
H163
H440
H600
H601
H602
H603
H609
H620
H623
H660
H661
H662
H663
H664
H669
H670
H671
H680
H700
H702
H730
Pneumococcal meningitis
Streptococcal meningitis
Staphylococcal meningitis
Other bacterial meningitis
Bacterial meningitis unspecified
Meningitis in bact dis class
elsewhere
Meningitis due to other specified
causes
Meningitis unspecified
Bact meningoencephalit
meningomyelit NEC
Encephalit &/or myelitis bact dis cl/e
Intracranial abscess and granuloma
Intraspinal abscess and granuloma
Extradural & subdural abscess unsp
Intrcran intraspinal abs granuloma
cl/e
Hordeolum & other deep inflam of
eyelid
Blepharitis
Other specified inflammation of
eyelid
Dacryoadenitis
Acute & unsp inflam lacrimal
passages
Acute inflammation of orbit
Mucopurulent conjunctivitis
Other acute conjunctivitis
Acute conjunctivitis unspecified
Blepharoconjunctivitis
Other conjunctivitis
Conjunctivitis unspecified
Conjunctivitis infect & parasit dis
cl/e
Interstitial and deep keratitis
Purulent endophthalmitis
Abscess of external ear
Cellulitis of external ear
Malignant otitis externa
Other infective otitis externa
Otitis externa unspecified
Otitis externa in bacterial disease
cl/e
Otitis ext oth infect parasit dis cl/e
Acute suppurative otitis media
Chr tubotympanic suppuratve otitis
media
Chr atticoantral suppuratve otitis
media
Other chronic suppurative otitis
media
Suppurative otitis media unspecified
Otitis media unspecified
Otitis media in bacterial diseases
cl/e
Otitis media in viral diseases cl/e
Eustachian salpingitis
Acute mastoiditis
Petrositis
Acute myringitis
H830
I301
I308
I309
I320
I321
I330
I339
I400
J010
J011
J012
J013
J014
J018
J019
J020
J028
J029
J030
J038
J039
J040
J041
J042
J050
J051
J13
J14
J150
J151
J152
J153
J154
J155
J156
J157
J158
J159
J170
J171
J173
J180
J181
J188
J189
J200
J201
Labyrinthitis
Infective pericarditis
Other forms of acute pericarditis
Acute pericarditis unspecified
Pericarditis in bact dis class
elsewhere
Pericarditis oth infect parasit dis cl/e
Acute & subacute infective
endocarditis
Acute endocarditis unspecified
Infective myocarditis
Acute maxillary sinusitis
Acute frontal sinusitis
Acute ethmoidal sinusitis
Acute sphenoidal sinusitis
Acute pansinusitis
Other acute sinusitis
Acute sinusitis unspecified
Streptococcal pharyngitis
Acute pharyngitis dt oth spec
organisms
Acute pharyngitis unspecified
Streptococcal tonsillitis
Acute tonsillitis dt oth spec
organisms
Acute tonsillitis unspecified
Acute laryngitis
Acute tracheitis
Acute laryngotracheitis
Acute obstructive laryngitis [croup]
Acute epiglottitis
Pneumonia dt 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 dt other aerobic gram
neg bact
Pneumonia dt Mycoplasma
pneumoniae
Other bacterial pneumonia
Bacterial pneumonia unspecified
Pneumonia in bact dis class
elsewhere
Pneumonia in viral dis class
elsewhere
Pneumonia in parasitic diseases
Bronchopneumonia unspecified
Lobar pneumonia unspecified
Other pneumonia organism
unspecified
Pneumonia unspecified
Ac bronchitis dt Mycoplasma
pneumoniae
Ac bronchitis dt Haemophilus
J202
J203
J204
J205
J206
J207
J208
J209
J36
J390
J391
J40
J440
J47
J850
J851
J852
J853
J860
J869
K040
K046
K047
K050
K052
K102
K113
K122
K350
K351
K359
K36
K37
K5702
K5703
K5712
K5713
K5722
K5723
K5732
K5733
K5742
K5743
K5752
influenzae
Acute bronchitis due to
streptococcus
Acute bronchitis due to
coxsackievirus
Acute bronchitis dt parainfluenza
virus
Ac bronchitis dt resp syncytial virus
Acute bronchitis due to rhinovirus
Acute bronchitis due to echovirus
Acute bronchitis dt other spec
organisms
Acute bronchitis unspecified
Peritonsillar abscess
Retropharyngeal & parapharyngeal
abscess
Other abscess of pharynx
Bronchitis not spec as acute or
chronic
COPD with acute lower resp
infection
Bronchiectasis
Gangrene and necrosis of lung
Abscess of lung with pneumonia
Abscess of lung without pneumonia
Abscess of mediastinum
Pyothorax with fistula
Pyothorax without fistula
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 w genl peritonitis
Acute appendicitis w peritoneal
abscess
Acute appendicitis unspecified
Other appendicitis
Unspecified appendicitis
Diverlitis sm intest w perf abs wo
haem
Diverlitis sm intest w haem perf &
abs
Diverlitis sm intest wo perf abs
haem
Diverlitis sm intest wo perf abs w
haem
Diverlitis lrg intest w perf abs wo
haem
Diverlitis lrg intest w haem perf &
abs
Diverlitis lrg intest wo perf abs
haem
Diverlitis lrg intest wo perf abs w
haem
Diverlitis bth intest w perf abs wo
haem
Diverlitis both intest w haem perf &
abs
Diverlitis both intest wo perf abs
K5753
K5782
K5783
K5792
K5793
K610
K611
K612
K613
K614
K630
K650
K658
K659
K670
K671
K673
K678
K750
K751
K8000
K8001
K8030
K8031
K8040
K8041
K810
K818
K819
K822
K830
K832
K850
K851
K852
K853
K858
K859
L00
L010
L011
L020
L021
L022
L023
haem
Diverlitis bth intest wo perf abs w
haem
Diverlitis intest ? w perf abs wo
haem
Diverlitis intest unsp w haem perf &
abs
Diverlitis intest unsp wo perf abs
haem
Diverlitis intest ? wo perf abs w
haem
Anal abscess
Rectal abscess
Anorectal abscess
Ischiorectal abscess
Intrasphincteric abscess
Abscess of intestine
Acute peritonitis
Other peritonitis
Peritonitis unspecified
Chlamydial peritonitis (A74.8+)
Gonococcal peritonitis (A54.8+)
Tuberculous peritonitis (A18.3+)
Oth disrd peritoneum in infect dis
cl/e
Abscess of liver
Phlebitis of portal vein
Calculus gallb w ac cholecystitis wo
obs
Calculus gallb w ac cholecystitis w
obs
Calculus bile duct w cholangitis wo
obs
Calculus bile duct w cholangitis w
obs
Calc bile duct w cholecystitis wo obs
Calc bile duct w cholecystitis w obs
Acute cholecystitis
Other cholecystitis
Cholecystitis unspecified
Perforation of gallbladder
Cholangitis
Perforation of bile duct
Idiopathic acute pancreatitis
Biliary acute pancreatitis
Alcohol-induced acute pancreatitis
Drug-induced acute pancreatitis
Other acute pancreatitis
Acute pancreatitis, unspecified
Staphylococcal scalded skin
syndrome
Impetigo [any organism] [any site]
Impetiginisation of other
dermatoses
Cutan abscess furuncle & carbuncle
face
Cutan abscess furuncle & carbuncle
neck
Cutan abscess furuncle & carbuncle
trunk
Cutan abscess furuncle carbuncle
buttock
L024
L028
L029
L0301
L0302
L0310
L0311
L032
L033
L038
L039
L040
L041
L042
L043
L048
L049
L050
L080
L081
L088
L089
L303
L88
L890
L891
L892
L893
L899
L983
M0000
M0001
M0002
M0003
M0004
M0005
M0006
M0007
M0008
M0009
M0010
M0011
M0012
M0013
M0014
Cutan abscess furuncle & carbuncle
limb
Cutan abs furuncle carbuncle other
sites
Cutan abscess furuncle & carbuncle
unsp
Cellulitis of finger
Cellulitis of toe
Cellulitis of upper limb
Cellulitis of lower limb
Cellulitis of face
Cellulitis of trunk
Cellulitis of other sites
Cellulitis unspecified
Acute lymphadenitis face head &
neck
Acute lymphadenitis of trunk
Acute lymphadenitis of upper limb
Acute lymphadenitis of lower limb
Acute lymphadenitis of other sites
Acute lymphadenitis unspecified
Pilonidal cyst with abscess
Pyoderma
Erythrasma
Oth spec local infectn skin sbc tissue
Local infection skin & sbc tissue
unsp
Infective dermatitis
Pyoderma gangrenosum
Decubitus [pressure] ulcer, stage I
Decubitus [pressure] ulcer, stage II
Decubitus [pressure] ulcer, stage III
Decubitus [pressure] ulcer, stage IV
Decubitus [pressure] ulcer,
unspecified
Eosinophilic cellulitis [Wells]
Staph arthritis polyarthritis mult
sites
Staph arthritis & polyarthritis
shoulder
Staph arthritis polyarthritis upper
arm
Staph arthritis & polyarthritis
forearm
Staph arthritis & polyarthritis hand
Staph arthr polyarthr pelv rgn &
thgh
Staph arthritis polyarthritis lower leg
Staph arthritis polyarthritis ankle
foot
Staph arthritis polyarthritis other
site
Staph arthritis polyarthritis site unsp
Pneumcoc arthritis polyarthr mult
sites
Pneumcoc arthritis polyarthr
shoulder
Pneumcoc arthritis polyarthr upper
arm
Pneumcoc arthritis polyarthritis
forearm
Pneumcoc arthritis polyarthritis
hand
M0015
M0016
M0017
M0018
M0019
M0020
M0021
M0022
M0023
M0024
M0025
M0026
M0027
M0028
M0029
M0080
M0081
M0082
M0083
M0084
M0085
M0086
M0087
M0088
M0089
M0090
M0091
M0092
M0093
M0094
M0095
M0096
M0097
M0098
M0099
M0100
M0101
M0102
Pneumcoc arthr polyarthr pelv rgn &
thgh
Pneumcoc arthritis polyarthr lower
leg
Pneumcoc arthritis polyarthr ankle
foot
Pneumcoc arthritis polyarthritis
other
Pneumcoc arthritis polyarthr site
unsp
Oth strep arthritis polyarthr mult
sites
Oth strep arthritis polyarthr
shoulder
Oth strep arthritis polyarthr upper
arm
Oth strep arthritis polyarthr forearm
Oth strep arthritis polyarthritis hand
Oth strep arthritis polyarthr pelv
thigh
Oth strep arthritis polyarthr lower
leg
Oth strep arthritis polyarthr ankle
foot
Oth strep arthritis polyarthritis other
Oth strep arthritis polyarthr site
unsp
Arthritis polyarthr dt oth bact mult
sit
Arthritis polyarthr dt oth bact
shoulder
Arthritis polyarthr dt oth bact upp
arm
Arthritis polyarthr dt oth bact
forearm
Arthritis polyarthritis dt oth bact
hand
Arthr polyarthr dt oth bact pelv
thigh
Arthritis polyarthr dt oth bact low
leg
Arthr polyarthr dt oth bact ankle
foot
Arthritis polyarthr dt oth spec bact
oth
Arthr polyarthr dt oth spec bact site
?
Pyogenic arthritis unsp mult sites
Pyogenic arthritis unsp shoulder
Pyogenic arthritis unsp upper arm
Pyogenic arthritis unspecified
forearm
Pyogenic arthritis unspecified hand
Pyogenic arthritis unsp pelv rgn &
thgh
Pyogenic arthritis unsp lower leg
Pyogenic arthritis unsp ankle & foot
Pyogenic arthritis unspecified other
Pyogenic arthritis unspecified site
unsp
Meningoc arthritis mult sites
(A39.8+)
Meningoc arthritis shoulder
(A39.8+)
Meningococcal arthritis upp arm
(A39.8+)
M0103
M0104
M0105
M0106
M0107
M0108
M0109
M0130
M0131
M0132
M0133
M0134
M0135
M0136
M0137
M0138
M0139
M0300
M0301
M0302
M0303
M0304
M0305
M0306
M0307
M0308
M0309
M0320
M0321
M0322
M0323
M0324
M0325
M0326
M0327
M0328
M0329
Meningococcal arthritis forearm
(A39.8+)
Meningococcal arthritis hand
(A39.8+)
Meningoc arthritis pelv thigh
(A39.8+)
Meningoc arthritis low leg (A39.8+)
Meningoc arthritis ankle foot
(A39.8+)
Meningococcal arthritis other
(A39.8+)
Meningoc arthritis site unsp
(A39.8+)
Arthritis in oth bact dis cl/e mult site
Arthritis in oth bact dis cl/e shoulder
Arthritis in oth bact dis cl/e upper
arm
Arthritis in oth bact dis cl/e forearm
Arthritis in oth bact dis cl/e hand
Arthr oth bact dis cl/e pelv rgn &
thgh
Arthritis in oth bact dis cl/e lower
leg
Arthr in oth bact dis cl/e ankle foot
Arthritis in oth bact dis cl/e other
Arthritis in oth bact dis cl/e site
unsp
Postmeningoc arthritis mult sites
A39.8+
Postmeningoc arthritis shoulder
(A39.8+)
Postmeningoc arthritis upp arm
(A39.8+)
Postmeningoc arthritis forearm
(A39.8+)
Postmeningoc arthritis hand
(A39.8+)
Postmeningoc arthr pelv thigh
(A39.8+)
Postmeningoc arthritis lower
leg(A39.8+)
Postmeningoc arthr ankle foot
(A39.8+)
Postmeningoc arthritis other
(A39.8+)
Postmeningoc arthritis sit unsp
(A39.8+)
Oth postinf arthrpthy dis cl/e mult
site
Oth postinf arthrpthy dis cl/e
shoulder
Oth postinf arthrpthy dis cl/e upp
arm
Oth postinf arthrpthy dis cl/e
forearm
Oth postinf arthropathy in dis cl/e
hand
Oth postinf arthrpthy dis cl/e pelv
thgh
Oth postinf arthrpthy dis cl/e lower
leg
Oth postinf arthrpthy dis cl/e ankle
ft
Oth postinf arthrpthy in dis cl/e
other
Oth postinf arthrpthy dis cl/e site
M4620
M4621
M4622
M4623
M4624
M4625
M4626
M4627
M4628
M4629
M6000
M6001
M6002
M6003
M6004
M6005
M6006
M6007
M6008
M6009
M6300
M6301
M6302
M6303
M6304
M6305
M6306
M6307
M6308
M6309
M6320
M6321
M6322
M6323
M6324
M6325
M6326
M6327
M6328
M6329
M7100
M7101
M7102
M7103
M7104
M7105
M7106
M7107
unsp
Vertebral osteomyelitis mult site
spine
Vertebral osteomyelitis ocpt-atlntaxl
Vertebral osteomyelitis cervical rgn
Vertebral osteomyelitis
cervicothoracic
Vertebral osteomyelitis thoracic rgn
Vertebral osteomyelitis
thoracolumbar
Osteomyelitis of vertebra lumbar
region
Vertebral osteomyelitis lumbosacral
rgn
Vert osteomyelitis sacr & sacrcocygl
Osteomyelitis vertebra site unsp
Infective myositis multiple sites
Infective myositis shoulder region
Infective myositis upper arm
Infective myositis forearm
Infective myositis hand
Infective myositis pelvic region thigh
Infective myositis lower leg
Infective myositis ankle and foot
Infective myositis other
Infective myositis site unspecified
Myositis in bact dis cl/e mult sites
Myositis in bact dis cl/e shoulder rgn
Myositis in bact dis cl/e upper arm
Myositis in bacterial dis cl/e forearm
Myositis in bacterial dis cl/e hand
Myosit in bact dis cl/e pelv rgn &
thgh
Myositis in bact dis cl/e lower leg
Myositis in bact dis cl/e ankle & foot
Myositis in bacterial dis cl/e other
Myositis in bacterial dis cl/e site
unsp
Myositis in oth infect dis cl/e mult sit
Myositis in oth infect dis cl/e
shoulder
Myositis in oth infect dis cl/e upp
arm
Myositis in oth infect dis cl/e
forearm
Myositis in oth infect dis cl/e hand
Myositis oth infect dis cl/e pelv thgh
Myositis in oth infect dis cl/e low leg
Myositis in oth infect dis cl/e ankle ft
Myositis in other infect dis cl/e other
Myositis in oth infect dis cl/e sit
unsp
Abscess of bursa multiple sites
Abscess of bursa shoulder region
Abscess of bursa upper arm
Abscess of bursa forearm
Abscess of bursa hand
Abscess bursa pelvic region thigh
Abscess of bursa lower leg
Abscess of bursa ankle and foot
M7108
M7109
M7260
M7261
M7262
M7263
M7264
M7265
M7266
M7267
M7268
M7269
M7300
M7301
M7302
M7303
M7304
M7305
M7306
M7307
M7308
M7309
M8600
M8601
M8602
M8603
M8604
M8605
M8606
M8607
M8608
M8609
M8610
M8611
M8612
M8613
M8614
M8615
M8616
M8617
M8618
M8619
M8620
Abscess of bursa other
Abscess of bursa site unspecified
Necrotising fasciitis mult sites
Necrotising fasciitis shoulder
Necrotising fasciitis upper arm
Necrotising fasciitis forearm
Necrotising fasciitis hand
Necrotising fasciitis pelvis thgh
Necrotising fasciitis lower leg
Necrotising fasciitis ankle foot
Necrotising fasciitis other site
Necrotising fasciitis site unsp
Gonococcal bursitis mult sites
(A54.4+)
Gonococcal bursitis shoulder
(A54.4+)
Gonococcal bursitis upper arm
(A54.4+)
Gonococcal bursitis forearm
(A54.4+)
Gonococcal bursitis hand (A54.4+)
Gon bursitis pelv rgn & thgh
(A54.4+)
Gonococcal bursitis lower leg
(A54.4+)
Gonococcal bursitis ankle foot
(A54.4+)
Gonococcal bursitis other (A54.4+)
Gonococcal bursitis site unsp
(A54.4+)
Ac haematogenous osteomyelitis
mult site
Ac haematogenous osteomyelitis
shoulder
Ac haematogenous osteomyelitis
upp arm
Ac haematogenous osteomyelitis
forearm
Acute haematogenous osteomyelitis
hand
Ac haematogenous osteomyelitis
pelv thgh
Ac haematogenous osteomyelitis
low leg
Ac haematogenous osteomyelitis
ankle ft
Acute haematogenous osteomyelitis
other
Ac haematogenous osteomyelitis
site unsp
Other acute osteomyelitis mult sites
Other acute osteomyelitis shoulder
Other acute osteomyelitis upper arm
Other acute osteomyelitis forearm
Other acute osteomyelitis hand
Oth acute osteomyelitis pelv rgn &
thgh
Other acute osteomyelitis lower leg
Other acute osteomyelitis ankle &
foot
Other acute osteomyelitis other
Other acute osteomyelitis site unsp
Subacute osteomyelitis multiple
sites
M8621
M8622
M8623
M8624
M8625
M8626
M8627
M8628
M8629
M8630
M8631
M8632
M8633
M8634
M8635
M8636
M8637
M8638
M8639
M8640
M8641
M8642
M8643
M8644
M8645
M8646
M8647
M8648
M8649
M8650
M8651
M8652
M8653
M8654
M8655
M8656
Subacute osteomyelitis shoulder
region
Subacute osteomyelitis upper arm
Subacute osteomyelitis forearm
Subacute osteomyelitis hand
Subacute osteomyelitis pelv rgn &
thgh
Subacute osteomyelitis lower leg
Subacute osteomyelitis ankle and
foot
Subacute osteomyelitis other
Subacute osteomyelitis site
unspecified
Chr multifocal osteomyelitis mult
sites
Chr multifocal osteomyelitis
shoulder
Chr multifocal osteomyelitis upper
arm
Chr multifocal osteomyelitis forearm
Chronic multifocal osteomyelitis
hand
Chr multifocal osteomyelitis pelv
thgh
Chr multifocal osteomyelitis lower
leg
Chr multifocal osteomyelitis ankle
foot
Chronic multifocal osteomyelitis
other
Chr multifocal osteomyelitis site
unsp
Chr osteomyelitis w drain sinus mult
sit
Chr osteomyelitis w drain sinus
shoulder
Chr osteomyelitis w drain sinus upp
arm
Chr osteomyelitis w drain sinus
forearm
Chr osteomyelitis w draining sinus
hand
Chr osteomyelitis drain sinus pelv
thgh
Chr osteomyelitis w drain sinus low
leg
Chr osteomyelitis w drain sinus
ankle ft
Chr osteomyelitis w drain sinus
other
Chr osteomyelts w drain sinus site
unsp
Oth chr haemtgs osteomyelitis mult
site
Oth chr haemtgs osteomyelitis
shoulder
Oth chr haemtgs osteomyelitis
upper arm
Oth chr haemtgs osteomyelitis
forearm
Oth chr haematogenous
osteomyelitis hand
Oth chr haemtgs osteomyelitis pelv
thgh
Oth chr haemtgs osteomyelitis low
leg
M8657
M8658
M8659
M8660
M8661
M8662
M8663
M8664
M8665
M8666
M8667
M8668
M8669
M8680
M8681
M8682
M8683
M8684
M8685
M8686
M8687
M8688
M8689
M8690
M8691
M8692
M8693
M8694
M8695
M8696
M8697
M8698
M8699
M9000
M9001
M9002
M9003
M9004
M9005
M9006
M9007
M9008
M9009
M9010
M9011
M9012
M9013
Oth chr haemtgs osteomyelitis ankle
ft
Oth chr haemtgs osteomyelitis other
Oth chr haemtgs osteomyelitis site
unsp
Other chronic osteomyelitis mult
sites
Other chronic osteomyelitis shoulder
Other chronic osteomyelitis upper
arm
Other chronic osteomyelitis forearm
Other chronic osteomyelitis hand
Oth chr osteomyelitis pelv rgn &
thgh
Other chronic osteomyelitis lower
leg
Other chronic osteomyelitis ankle
foot
Other chronic osteomyelitis other
Other chronic osteomyelitis site
unsp
Other osteomyelitis multiple sites
Other osteomyelitis shoulder region
Other osteomyelitis upper arm
Other osteomyelitis forearm
Other osteomyelitis hand
Other osteomyelitis pelv rgn & thgh
Other osteomyelitis lower leg
Other osteomyelitis ankle and foot
Other osteomyelitis other
Other osteomyelitis site unspecified
Unspecified osteomyelitis mult sites
Unspecified osteomyelitis shoulder
Unspecified osteomyelitis upper arm
Unspecified osteomyelitis forearm
Unspecified osteomyelitis hand
Unsp osteomyelitis pelv rgn & thgh
Unspecified osteomyelitis lower leg
Unspecified osteomyelitis ankle &
foot
Unspecified osteomyelitis other
Unspecified osteomyelitis site unsp
Tuberculosis of bone (A18.0+) mult
sites
TB of bone shoulder (A18.0+)
Tuberculosis of bone upper arm
(A18.0+)
Tuberculosis of bone forearm
(A18.0+)
Tuberculosis of bone hand (A18.0+)
Tuberculosis of bone pelv thgh
(A18.0+)
Tuberculosis of bone lower leg
(A18.0+)
TB of bone ankle & foot (A18.0+)
Tuberculosis of bone other (A18.0+)
TB bone site unspecified (A18.0+)
Periostitis oth infect dis cl/e mult sit
Periostitis oth infect dis cl/e
shoulder
Periostitis oth infect dis cl/e upp arm
Periostitis oth infect dis cl/e forearm
M9014
M9015
M9016
M9017
M9018
M9019
M9020
M9021
M9022
M9023
M9024
M9025
M9026
M9027
M9028
M9029
N10
N12
N136
N151
N159
N300
N308
N309
N340
N351
N390
N410
N412
N413
N431
N450
N459
N481
N482
N490
N491
N492
N498
N499
N510
N511
N512
N61
N700
Periostitis oth infectious dis cl/e
hand
Periostitis oth infect dis cl/e pelvis
Periostitis oth infect dis cl/e low leg
Periostitis oth infect dis cl/e ankle ft
Periostitis oth infect dis cl/e other
Periostitis oth infect dis cl/e sit unsp
Osteopathy oth infect dis cl/e mult
site
Osteopathy oth infect dis cl/e
shoulder
Osteopathy oth infect dis cl/e upp
arm
Osteopathy oth infect dis cl/e
forearm
Osteopathy in oth infect dis cl/e
hand
Osteopathy oth infect dis cl/e pelv
thgh
Osteopathy oth infect dis cl/e low
leg
Osteopathy oth infect dis cl/e ankle
ft
Osteopathy in oth infect dis cl/e
other
Osteopathy oth infect dis cl/e site
unsp
Acute tubulo-interstitial nephritis
Tubulo-interstitial nephritis NOS
Pyonephrosis
Renal and perinephric abscess
Renal tubulo-interstitial disease
unsp
Acute cystitis
Other cystitis
Cystitis unspecified
Urethral abscess
Postinfective urethral stricture NEC
Urinary tract infection site not spec
Acute prostatitis
Abscess of prostate
Prostatocystitis
Infected hydrocele
Orchitis epididymitis w abscess
Orchitis epididymitis wo abscess
Balanoposthitis
Other inflammatory disorders of
penis
Inflammatory disorders seminal
vesicle
Inf disrd sperm cd tunica vaginalis
vas
Inflammatory disorders of scrotum
Inf disrd of oth spec male genital
org
Inf disrd of unsp male genital organ
Disorders of prostate in diseases
cl/e
Disrd of testis & epididymis in dis
cl/e
Balanitis in diseases cl/e
Inflammatory disorders of breast
Acute salpingitis and oophoritis
N701
N709
N710
N719
N72
N730
N731
N732
N733
N735
N739
N751
N760
N761
N762
N763
N764
N980
O030
O035
O040
O045
O050
O055
O060
O065
O070
O075
O080
O230
O231
O232
O233
O234
O235
O239
O411
O85
O861
O862
O863
O868
Chronic salpingitis and oophoritis
Salpingitis and oophoritis
unspecified
Acute inflammatory disease of
uterus
Inflammatory disease of uterus unsp
Inflammatory disease of cervix uteri
Acute parametritis and pelvic
cellulitis
Chronic parametritis & pelvic
cellulitis
Unsp parametritis and pelvic
cellulitis
Female acute pelvic peritonitis
Female pelvic peritonitis unspecified
Female pelvic inflammatory disease
unsp
Abscess of Bartholin's gland
Acute vaginitis
Subacute and chronic vaginitis
Acute vulvitis
Subacute and chronic vulvitis
Abscess of vulva
Infectn ass w artificial insemination
Spont abortn incomp complic pelv
infectn
Spont abortn compl / unsp w pelv
infectn
Medical abortn incomp w pelv
infectn
Med abortion compl unsp w pelv
infectn
Oth abortn incomp w pelv infectn
Oth abortn compl unsp w pelv
infectn
Unsp abortn incomp w pelv infectn
Unsp abortn compl / unsp w pelv
infectn
Failed medical abortn w pelv infectn
Oth unsp fail attempt abortn w
infectn
Infectn foll abortn ectop molar preg
Infections of kidney in pregnancy
Infections of bladder in pregnancy
Infections of urethra in pregnancy
Infectn oth parts urinary tract in
preg
Unsp infectn urinary tract in
pregnancy
Infections genital tract in pregnancy
Oth & unsp GU infection in preg
Infection of amniotic sac and
membranes
Puerperal sepsis
Oth infectn gen tract following
delivery
Urinary tract infectn following
delivery
Oth GU tract infections foll delivery
Other specified puerperal infections
AR-DRG version 5.1 Trauma DRGs:
B72A
Nervous System Infection Except
O9100
O9101
O9110
O9111
O9120
O9121
O982
O988
O989
P360
P361
P362
P363
P364
P365
P368
P369
P38
P390
P392
P393
P394
P398
P399
P77
R02
R578
T793
T802
T8141
T8142
T826
T827
T835
T836
T845
T846
T847
T8571
T8578
T874
T880
T8902
Infectn nipple wo attachment
difficulty
Infectn nipple w attachment
difficulty
Abscess breast wo atchmt difficulty
Abscess breast w atchmt difficulty
Nonpurulent mastitis wo atchmt
difficlt
Nonpurulent mastitis w atchmt
difficulty
Gonorrhoea comp preg brth &
puerperium
Oth mat infect dis comp preg brth
puerp
Unsp mat infect dis comp preg brth
Newborn sepsis dt streptococcus
group B
Newborn sepsis oth / unsp
streptococci
Newborn sepsis dt Staphylococcus
aureus
Newborn sepsis dt oth / unsp staph
Sepsis of newborn dt Escherichia
coli
Sepsis of newborn due to anaerobes
Other bacterial sepsis of newborn
Bacterial sepsis of newborn
unspecified
Omphalitis newborn w or wo mild
haem
Neonatal infective mastitis
Intra-amniotic infection of fetus NEC
Neonatal urinary tract infection
Neonatal skin infection
Oth spec infectn spec to perintl
period
Infectn spec to perinatal peri unsp
Necrotising enterocolitis fetus
newborn
Gangrene not elsewhere classified
Other shock
Post traumatic wound infection NEC
Infection foll infus transfn thrpc injct
Wound infection following a
procedure
Sepsis following a procedure
Infectn inf react dt card valve prosth
Infectn inf dt oth card vasc dev impl
Infectn inf dt prosth dev impl urin
sys
Infectn inf dt prosth dev impl gen tr
Infectn inf react dt internal jt prosth
Infectn inf react dt int fixation dev
Infectn inf dt oth int ortho prosth
dev
Infectn inf dt peritoneal dialysis cath
Infectn dt oth int prosth dev impl gft
Infection of amputation stump
Infection following immunisation
Open wound with infection
Viral Meningitis W Cat or Sev CC
B72B
B73Z
C60A
C60B
D63A
D63B
D63A
D63B
D64Z
E62A
E62B
E62C
E62A
E62B
E62C
E69A
E69B
E69C
E70A
E70B
F61Z
G67A
G67B
G68A
G68B
G69Z
H60A
H60B
H60C
I12A
I12B
I12C
I64A
I64B
I67A
Nervous System Infection Except
Viral Meningitis W/O Cat or Sev CC
Viral meningitis
Acute and Major Eye Infections Age
>54 or W (Catastrophic or Severe
CC)
Acute and Major Eye Infections Age
<55 W/O Catastrophic or Severe CC
Otitis Media and URI W CC
Otitis Media and URI W/O CC
Otitis Media and URI W CC
Otitis Media and URI W/O CC
Laryngotracheitis and epiglottitis
Respiratory Infections/Inflammations
W Catastrophic CC
Respiratory Infections/Inflammations
W Severe or Moderate CC
Respiratory Infections/Inflammations
W/O CC
Respiratory Infections/Inflammations
W Catastrophic CC
Respiratory Infections/Inflammations
W Severe or Moderate CC
Respiratory Infections/Inflammations
W/O CC
Bronchitis and Asthma Age >49 W
CC
Bronchitis and Asthma Age >49 or W
CC
Bronchitis and Asthma Age <50 W/O
CC
Whooping Cough and Acute
Bronchiolitis W CC
Whooping Cough and Acute
Bronchiolitis W/O CC
Infective Endocarditis
Oesophagitis, Gastroent & Misc
Digestive System Disorders Age>9
W Cat/Sev CC
Oesophagitis, Gastroent & Misc
Digestive Systm Disorders Age>9
W/O Cat/Sev CC
Gastroenteritis Age <10 W CC
Gastroenteritis Age <10 W/O CC
Oesophagitis and Misc Digestive
System Disorders Age<10
Cirrhosis and Alcoholic Hepatitis W
Catastrophic CC
Cirrhosis and Alcoholic Hepatitis W
Severe CC
Cirrhosis and Alcoholic Hepatitis W/O
Catastrophic or Severe CC
Infect/Inflam of Bone & Joint W Misc
Musc Sys & Conn Tiss Procs W Cat
CC
Infect/Inflam of Bone & Joint W Misc
Musc Sys & Conn Tiss Procs W Sev
CC
Infect/Inflam Bone & Joint W Misc
Musc Sys & Conn Tiss Proc W/O Cat
or Sev CC
Osteomyelitis W CC
Osteomyelitis W/O CC
Septic Arthritis W Catastrophic or
I67B
J64A
J64B
J64B
L63A
L63B
L63C
L63C
M62A
M62B
N61Z
S60Z
S65A
S65B
S65C
T01A
T01B
T01C
T60A
T60B
T60A
T60B
T64A
T64B
T61A
T61B
T62A
T62B
T63A
T63B
Severe CC
Septic Arthritis W/O Catastrophic or
Severe CC
Cellulitis Age >59 W Catastrophic or
Severe CC
Cellulitis (Age >59 W/O Catastrophic
or Severe CC) or Age <60
Cellulitis (Age >59 W/O Catastrophic
or Severe CC) or Age <60
Kidney and Urinary Tract Infections
W Catastrophic CC
Kidney and Urinary Tract Infections
Age >69 or W Severe CC
Kidney and Urinary Tract Infections
Age <70 W/O Catastrophic or Severe
CC
Kidney and Urinary Tract Infections
Age <70 W/O Catastrophic or Severe
CC
Inflammation of the Male
Reproductive System W CC
Inflammation of the Male
Reproductive System W/O CC
Infections, Female Reproductive
System
HIV, Sameday
HIV-Related Diseases W
Catastrophic CC
HIV-Related Diseases W Severe CC
HIV-Related Diseases W/O
Catastrophic or Severe CC
O.R. Procedures for Infectious and
Parasitic Diseases W Catastrophic CC
O.R. Procedures for Infectious and
Parasitic Diseases W Severe or
Moderate CC
O.R. Procedures for Infectious and
Parasitic Diseases W/O CC
Septicaemia W Catastrophic or
Severe CC
Septicaemia W/O Catastrophic or
Severe CC
Septicaemia W Catastrophic or
Severe CC
Septicaemia W/O Catastrophic or
Severe CC
Other Infectious and Parasitic
Diseases W Catastrophic or Severe
CC
Other Infectious and Parasitic
Diseases W/O Catastrophic or
Severe CC
Postoperative & Post-traumatic
Infections Age >54 or W (Cat or Sev
CC)
Postoperative & Post-traumatic
Infections Age <55 W/O Cat or Sev
CC
Fever of Unknown Origin W CC
Fever of Unknown Origin W/O CC
Viral Illness Age >59 or W CC
Viral Illness Age <60 W/O CC
Appendix Q: Cancer DRGs
Used:
Selected Infections Due to Medical Care (PSI 7)
Postoperative Sepsis (PSI 13)
AR-DRG version 5.1 Cancer DRGs:
B66A
Nervous System Neoplasm W
Catastrophic or Severe CC
B66B
Nervous System Neoplasm W/O
Catastrophic or Severe CC
D60A
Ear, Nose, Mouth and Throat
Malignancy W Catastrophic or
Severe CC
D60B
Ear, Nose, Mouth and Throat
Malignancy W/O Catastrophic or
Severe CC
E71A
Respiratory Neoplasms W
Catastrophic CC
E71B
Respiratory Neoplasms W Severe or
Moderate CC
E71C
Respiratory Neoplasms W/O CC
G03A
Stomach, oesophageal and duodenal
procedures with malignancy
G60A
Digestive Malignancy W Catastrophic
or Severe CC
G60B
Digestive Malignancy W/O
Catastrophic or Severe CC
H02A
Major biliary tract procedures with
malignancy or catastrophic CC
H61A
Malignancy of Hepatobiliary Sys,Panc
(Age>69 W Cat or Sev CC) or W Cat
CC
H61B
Malignancy of Hepatobiliary Sys,Panc
(Age>69 W/O Cat or Sev CC) or
W/O Cat CC
I65A
Connective Tissue Malignancy,
including Pathological Fx W Cat or
Sev CC
I65B
Connective Tissue Malignancy,
including Pathological Fx W/O Cat or
Sev CC
J06A
Major Procedures for Malignant
Breast Conditions
J07A
Minor Procedures for Malignant
Breast Conditions
J62A
Malignant Breast Disorders (Age >69
W CC) or W (Cat or Sev CC)
J62B
Malignant Breast Disorders (Age>69
W/O CC) or W/O (Cat or Sev CC)
L03A
Kidney, Ureter and Major Bladder
Procedures for Neoplasm W Cat or
Sev CC
L03B
Kidney, Ureter and Major Bladder
Procedures for Neoplasm W/O Cat or
Sev CC
L62A
Kidney and Urinary Tract Neoplasms
W Catastrophic or Severe CC
L62B
Kidney and Urinary Tract Neoplasms
W/O Catastrophic or Severe CC
M06A
Other Male Reproductive System
O.R. Procedures for Malignancy
M60A
Malignancy, Male Reproductive
System W Catastrophic or Severe CC
M60B
Malignancy, Male Reproductive
N02A
N02B
N03A
N03B
N02A
N02B
N11A
N60A
N60B
R01A
R01B
R03A
R03B
R61A
R61B
R61C
R60A
R60B
R60C
R02A
R02B
R04A
R04B
R64Z
R63Z
System W/O Catastrophic or Severe
CC
Uterine, adnexa procedure for
ovarian or adnexal malignancy w CC
Uterine, adnexa procedure for
ovarian or adnexal malignancy w/o
CC
Uterine, Adnexa Procedure for NonOvarian or Adnexal Malignancy W CC
Uterine, Adnexa Procedure for NonOvarian or Adnexal Malignancy W/O
CC
Uterine, Adnexa Procedure for
Ovarian or Adnexal Malignancy W CC
Uterine, Adnexa Procedure for
Ovarian or Adnexal Malignancy W/O
CC
Other female reproductive system
OR procedures age >64 or w
malignancy or w CC
Malignancy, Female Reproductive
System w Catastrophic or Severe CC
Malignancy, Female Reproductive
System W/O Catastrophic or Severe
CC
Lymphoma and Leukaemia W Major
O.R. Procedures W Catastrophic or
Severe CC
Lymphoma and Leukaemia W Major
O.R. Procedures W/O Catastrophic or
Severe CC
Lymphoma and Leukaemia W Other
O.R. Procedures W Catastrophic or
Severe CC
Lymphoma and Leukaemia W Other
O.R. Procedures W/O Catastrophic or
Severe CC
Lymphoma and Non-Acute
Leukaemia W Catastrophic CC
Lymphoma and Non-Acute
Leukaemia W/O Catastrophic CC
Lymphoma and Non-Acute
Leukaemia, Sameday
Acute Leukaemia W Catastrophic CC
Acute Leukaemia W Severe CC
Acute Leukaemia W/O Catastrophic
or Severe CC
Other Neoplastic Disorders W Major
O.R. Procedures W Cat or Sev CC
Other Neoplastic Disorders W Major
O.R. Procedures W/O Cat or Sev CC
Other Neoplastic Disorders W Other
O.R. Procedures W Cat or Sev CC
Other Neoplastic Disorders W Other
O.R. Procedures W/O Cat or Sev CC
Radiotherapy
Chemotherapy
R62A
R62B
R60A
R60B
R60C
R63Z
Other Neoplastic Disorders W CC
Other Neoplastic Disorders W/O CC
Acute Leukaemia W Catastrophic CC
Acute Leukaemia W Severe CC
Acute Leukaemia W/O Catastrophic
or Severe CC
Chemotherapy
R01A
R01B
Lymphoma and Leukaemia W Major
O.R. Procedures W Catastrophic or
Severe CC
Lymphoma and Leukaemia W Major
O.R. Procedures W/O Catastrophic or
Severe CC
Appendix R: Anaesthetic Procedure Codes
Used:
Complications of Anaesthesia (PSI 1)
Postoperative Hip Fracture (PSI 8)
Postoperative Haemorrhage or Haematoma (PSI 9)
Postoperative Physiologic and Metabolic Derangement (PSI 10)
Postoperative Respiratory Failure (PSI 11)
Postoperative Pulmonary Embolism or Deep Vein Thrombosis (PSI 12)
Postoperative Sepsis (PSI 13)
ICD-10-AM 5th edition Anaesthetic procedure codes:
9250710 Nrxl blck dur labour & delv proc,
ASA 10
9250719 Nrxl blck dur labour & delv proc,
ASA 19
9250720 Nrxl blck dur labour & delv proc,
ASA 20
9250729 Nrxl blck dur labour & delv proc,
ASA 29
9250730 Nrxl blck dur labour & delv proc,
ASA 30
9250739 Nrxl blck dur labour & delv proc,
ASA 39
9250740 Nrxl blck dur labour & delv proc,
ASA 40
9250749 Nrxl blck dur labour & delv proc,
ASA 49
9250750 Nrxl blck dur labour & delv proc,
ASA 50
9250759 Nrxl blck dur labour & delv proc,
ASA 59
9250769 Nrxl blck dur labour & delv proc,
ASA 69
9250790 Nrxl blck dur labour & delv proc,
ASA 90
9250799 Nrxl blck dur labour & delv proc,
ASA 99
9250810 Neuraxial block, ASA 10
9250819 Neuraxial block, ASA 19
9250820 Neuraxial block, ASA 20
9250829 Neuraxial block, ASA 29
9250830 Neuraxial block, ASA 30
9250839 Neuraxial block, ASA 39
9250840 Neuraxial block, ASA 40
9250849 Neuraxial block, ASA 49
9250850 Neuraxial block, ASA 50
9250859
9250869
9250890
9250899
9251410
9251419
9251420
9251429
9251430
9251439
9251440
9251449
9251450
9251459
9251469
9251490
9251499
9251510
9251519
9251520
9251529
9251530
9251539
9251540
9251549
9251550
9251559
9251569
9251590
9251599
Neuraxial block, ASA 59
Neuraxial block, ASA 69
Neuraxial block, ASA 90
Neuraxial block, ASA 99
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
General anaesthesia, ASA
Sedation, ASA 10
Sedation, ASA 19
Sedation, ASA 20
Sedation, ASA 29
Sedation, ASA 30
Sedation, ASA 39
Sedation, ASA 40
Sedation, ASA 49
Sedation, ASA 50
Sedation, ASA 59
Sedation, ASA 69
Sedation, ASA 90
Sedation, ASA 99
10
19
20
29
30
39
40
49
50
59
69
90
99