Specifications (Diagnoses and Procedure Codes) Used to Identify Adverse Events Flagged by the PSI - CRS
The following are the specific ICD-9-CM diagnosis and procedure codes which, when present and recorded as acquired (PoA = N) on the hospital bill, will flag the case for review.
Adverse Event |
ICD-9-CM Diagnosis and Procedure Codes |
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9984 Foreign body accidentally left during a procedure 9987 Acute reaction to foreign substance accidentally left during a procedure. |
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9991 Complications of medical care, not elsewhere classified, air embolism |
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9996 Complications of medical care, not elsewhere classified, ABO incompatibility reaction |
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70723 Pressure ulcer, Stage III 70724 Pressure ulcer, Stage IV |
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80000 - 82999 Fracture 83000 - 83999 Dislocation 85000 - 85499 Intracranial injury 92500 - 92999 Crushing injury 94000 - 94999 Burn 99100 - 99499 Other and unspecified effects of external causes |
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99664 Infection and inflammatory reaction due to indwelling urinary catheter 1122 Candidiasis of other urogenital sites 59010 Acute pyelonephritis, without lesion of renal medullary necrosis 59011 Acute pyelonephritis, with lesion of renal medullary necrosis 5902 Renal and perinephric abscess 5903 Pyeloureteritis cystica 59080 Pyelonephritis, unspecified 59081 Pyelitis or pyelonephritis in diseases classified elsewhere 5950 Acute cystitis 5970 Urethral abscess 5990 Urinary tract infection, site not specified |
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99931 Infection due to central venous catheter (catheter related blood stream infection (CRBSI)) |
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25010 Diabetes with ketoacidosis, Type II or unspecified type, not stated as uncontrolled 25011 Diabetes with ketoacidosis, Type I (juvenile type), not stated as uncontrolled 25012 Diabetes with ketoacidosis, Type II or unspecfied type, uncontrolled 25013 Diabetes with ketoacidosis, Type I (juvenile type), uncontrolled 25020 Diabetes with hyperosmolarity, Type II or unspecified type, not stated as uncontrolled 25021 Diabetes with hyperosmolarity, Type I (juvenile type), not stated as uncontrolled 25022 Diabetes with hyperosmolarity, Type II or unspecified type, uncontrolled 25023 Diabetes with hyperosmolarity, Type I (juvenile type), uncontrolled 24910 Secondary diabetes mellitus with ketoacidosis, not stated as uncontrolled, or unspecified 24911 Secondary diabetes mellitus with ketoacidosis, uncontrolled 24920 Secondary diabetes mellitus with hyperosmolarity, not stated as uncontrolled, or unspecified 24921 Secondary diabetes mellitus with hyperosmolarity, uncontrolled |
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2510 Hypoglycemic coma |
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5192 Mediastinitis plus one of the following procedures: 3610 Aortocoronary bypass for heart revascularization, not otherwise specified 3611 Aortocoronary bypass of one coronary artery 3612 Aortocoronary bypass of two coronary arteries 3613 Aortocoronary bypass of three coronary arteries 3614 Aortocoronary bypass of four or more coronary arteries 3615 Single internal mammary-coronary artery bypass 3616 Double internal mammary-coronary artery bypass 3617 Abdominal-coronary artery bypass 3619 Other bypass anastomosis for heart revascularization |
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99667 Infection and inflammatory reaction due to other internal orthopedic device, implant and graft 99859 Other postoperative infection plus one of the following procedures: 8101 Atlas-axis fusion 8102 Other cervical fusion anterior 8103 Other cervical fusion posterior 8104 Dorsal/dorsolum fusion anterior 8105 Dorsal/dorsolum fusion posterior 8106 Lumbar/lumbosac fusion anterior 8107 Lumbar/lumbosac fusion lateral 8108 Lumbar/lumbosac fusion posterior 8123 Arthrodesis of shoulder 8124 Arthrodesis of elbow 8131 Refusion of atlas-axis 8132 Refusion of other cervical spine anterior 8133 Refusion of other cervical spine posterior 8134 Refusion of dorsal spine anterior 8135 Refusion of dorsal spine posterior 8136 Refusion of lumbar spine anterior 8137 Refusion of lumbar spine lateral 8138 Refusion of lumbar spine posterior 8183 Shoulder arthroplasty NEC 8185 Elbow arthroplasty NEC |
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27801 Morbid obesity 99859 Other postoperative infection plus one of the following procedures: 4438 Laparoscopic gastroenterostomy 4439 Other gastroenterostomy 4495 Laparoscopic gastric restrictive procedure |
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Surgical or interventional procedure plus one of the following secondary diagnoses: 4151 Pulmonary embolism and infarction 41511 Iatrogenic pulmonary embolism and infarction 41519 Pulmonary embolism and infarction, other 45340 DVT-embolism lower ext NOS (Oct 04) 45341 DVT-embolism prox lower ext (Oct 04) 45342 DVT-embolism distal lower ext (Oct 04)
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4151 Pulmonary embolism and infarction 41511 Iatrogenic pulmonary embolism and infarction 41519 Pulmonary embolism and infarction, other 45340 DVT-embolism lower ext NOS (Oct 04) 45341 DVT-embolism prox lower ext (Oct 04) 45342 DVT-embolism distal lower ext (Oct 04)
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99811 Hemorrhage complicating a procedure 99812 Hematoma complicating a procedure plus one of the following procedures:
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5461 Reclosure of postop disruption of abdominal wall |
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5121 Iatrogenic pneumothorax |
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9982 Accidental puncture or laceration during a procedure |