Tables and Figures
Table 14‑1: Principal Diagnosis Codes
Table 14‑2: Preventable Hospitalization Codes
Table 14‑3: Diabetes Related Hospitalization Codes
Table 14‑4: Leading Hospital Admissions - HCFA DRG Codes and Descriptions
Table 14‑1: Principal Diagnosis Codes
|
Description |
ICD-9 Codes |
|
Infectious and parasitic diseases |
001-139 |
|
Neoplasms |
140-239 |
|
Endocrine, nutritional and metabolic diseases. and immunity disorders |
240-279 |
|
Diseases of the blood and blood-forming organs |
280-289 |
|
Mental disorders |
290-319 |
|
Diseases of the nervous system and sense organs |
320-389 |
|
Diseases of the circulatory system |
390-459 |
|
Diseases of the respiratory system |
460-519 |
|
Diseases of the digestive system |
520-579 |
|
Diseases of the genitourinary system |
580-629 |
|
Complications of pregnancy, childbirth, and the puerperium |
630-677 |
|
Diseases of the skin and subcutaneous tissue |
680-709 |
|
Diseases of the musculoskeletal system and connective tissue |
710-739 |
|
Congenital anomalies |
740-759 |
|
Certain conditions originating in the perinatal period |
760-779 |
|
Symptoms, signs, and ill-defined conditions |
780-799 |
|
Injury and poisoning |
800-999 |
|
Supplementary classifications |
V01-V83 |
Table 14‑2: Preventable Hospitalization Codes
|
Description |
ICD-9 Codes |
|
Immunizable Condition |
032-033.9, 037-037.9, 045.0-045.9, 055.0-055.9, 072.0-072.9 |
|
Diabetes |
250.1-250.93, 251.0-251.1 |
|
Hypokalemia |
276.8-276.89 |
|
Malignant Hypertension |
401.0, 402.0-402.00, 403.0-403.01, 404.0-404.03, 405.0-405.09, 437.2 |
|
Congestive Heart Failure |
428.0-428.9, 402.01, 402.11, 402.91 |
|
Pneumonia |
481-483, 485-486 |
|
Asthma |
493.00-493.92 |
|
Perforated/Bleeding Ulcer |
531.0-531.00, 531.10-531.11, 531.2-531.21, 531.4-531.41, 531.50-531.51, 531.6-531.60, 532.0-532.11, 532.2-532.21, 532.4-532.41, 532.6-532.60, 533.0-533.60 |
|
Ruptured Appendix |
540.0-540.1 |
|
Pyelonephritis |
590.00-590.19, 590.8-590.80 |
|
Cellulitis |
681-682 |
|
Gangrene |
785.4-785.49 |
Table 14‑3: Diabetes Related Hospitalization Codes
|
Description |
ICD-9 Codes |
|
Diabetes |
250 |
Table 14‑4: Leading Hospital Admissions - HCFA DRG Codes and Descriptions
1 Craniotomy Age >17 W Cc
2 Craniotomy Age >17 W/O Cc
3 Craniotomy Age 0-17
4 No Longer Valid
5 No Longer Valid
6 Carpal Tunnel Release
7 Periph & Cranial Nerve & Other Nerv Syst Proc W Cc
8 Periph & Cranial Nerve & Other Nerv Syst Proc W/O Cc
9 Spinal Disorders & Injuries
10 Nervous System Neoplasms W Cc
11 Nervous System Neoplasms W/O Cc
12 Degenerative Nervous System Disorders
13 Multiple Sclerosis & Cerebellar Ataxia
14 Intracranial Hemorrhage Or Cerebral Infarction
15 Nonspecific Cva & Precerebral Occlusion W/O Infarct
16 Nonspecific Cerebrovascular Disorders W Cc
17 Nonspecific Cerebrovascular Disorders W/O Cc
18 Cranial & Peripheral Nerve Disorders W Cc
19 Cranial & Peripheral Nerve Disorders W/O Cc
20 Nervous System Infection Except Viral Meningitis
21 Viral Meningitis
22 Hypertensive Encephalopathy
23 Nontraumatic Stupor & Coma
24 Seizure & Headache Age >17 W Cc
25 Seizure & Headache Age >17 W/O Cc
26 Seizure & Headache Age 0-17
27 Traumatic Stupor & Coma, Coma >1 Hr
28 Traumatic Stupor & Coma, Coma <1 Hr Age >17 W Cc
29 Traumatic Stupor & Coma, Coma <1 Hr Age >17 W/O Cc
30 Traumatic Stupor & Coma, Coma <1 Hr Age 0-17
31 Concussion Age >17 W Cc
32 Concussion Age >17 W/O Cc
33 Concussion Age 0-17
34 Other Disorders Of Nervous System W Cc
35 Other Disorders Of Nervous System W/O Cc
36 Retinal Procedures
37 Orbital Procedures
38 Primary Iris Procedures
39 Lens Procedures With Or Without Vitrectomy
40 Extraocular Procedures Except Orbit Age >17
41 Extraocular Procedures Except Orbit Age 0-17
42 Intraocular Procedures Except Retina, Iris & Lens
43 Hyphema
44 Acute Major Eye Infections
45 Neurological Eye Disorders
46 Other Disorders Of The Eye Age >17 W Cc
47 Other Disorders Of The Eye Age >17 W/O Cc
48 Other Disorders Of The Eye Age 0-17
49 Major Head & Neck Procedures
50 Sialoadenectomy
51 Salivary Gland Procedures Except Sialoadenectomy
52 Cleft Lip & Palate Repair
53 Sinus & Mastoid Procedures Age >17
54 Sinus & Mastoid Procedures Age 0-17
55 Miscellaneous Ear, Nose, Mouth & Throat Procedures
56 Rhinoplasty
57 T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only, Age >17
58 T&A Proc, Except Tonsillectomy &/Or Adenoidectomy Only, Age 0-17
59 Tonsillectomy &/Or Adenoidectomy Only, Age >17
60 Tonsillectomy &/Or Adenoidectomy Only, Age 0-17
61 Myringotomy W Tube Insertion Age >17
62 Myringotomy W Tube Insertion Age 0-17
63 Other Ear, Nose, Mouth & Throat O.R. Procedures
64 Ear, Nose, Mouth & Throat Malignancy
65 Dysequilibrium
66 Epistaxis
67 Epiglottitis
68 Otitis Media & Uri Age >17 W Cc
69 Otitis Media & Uri Age >17 W/O Cc
70 Otitis Media & Uri Age 0-17
71 Laryngotracheitis
72 Nasal Trauma & Deformity
73 Other Ear, Nose, Mouth & Throat Diagnoses Age >17
74 Other Ear, Nose, Mouth & Throat Diagnoses Age 0-17
75 Major Chest Procedures
76 Other Resp System O.R. Procedures W Cc
77 Other Resp System O.R. Procedures W/O Cc
78 Pulmonary Embolism
79 Respiratory Infections & Inflammations Age >17 W Cc
80 Respiratory Infections & Inflammations Age >17 W/O Cc
81 Respiratory Infections & Inflammations Age 0-17
82 Respiratory Neoplasms
83 Major Chest Trauma W Cc
84 Major Chest Trauma W/O Cc
85 Pleural Effusion W Cc
86 Pleural Effusion W/O Cc
87 Pulmonary Edema & Respiratory Failure
88 Chronic Obstructive Pulmonary Disease
89 Simple Pneumonia & Pleurisy Age >17 W Cc
90 Simple Pneumonia & Pleurisy Age >17 W/O Cc
91 Simple Pneumonia & Pleurisy Age 0-17
92 Interstitial Lung Disease W Cc
93 Interstitial Lung Disease W/O Cc
94 Pneumothorax W Cc
95 Pneumothorax W/O Cc
96 Bronchitis & Asthma Age >17 W Cc
97 Bronchitis & Asthma Age >17 W/O Cc
98 Bronchitis & Asthma Age 0-17
99 Respiratory Signs & Symptoms W Cc
100 Respiratory Signs & Symptoms W/O Cc
101 Other Respiratory System Diagnoses W Cc
102 Other Respiratory System Diagnoses W/O Cc
103 Heart Transplant Or Implant Of Heart Assist System
104 Cardiac Valve & Oth Major Cardiothoracic Proc W Card Cath
105 Cardiac Valve & Oth Major Cardiothoracic Proc W/O Card Cath
106 Coronary Bypass W Ptca
107 No Longer Valid
108 Other Cardiothoracic Procedures
109 No Longer Valid
110 Major Cardiovascular Procedures W Cc
111 Major Cardiovascular Procedures W/O Cc
112 No Longer Valid
113 Amputation For Circ System Disorders Except Upper Limb & Toe
114 Upper Limb & Toe Amputation For Circ System Disorders
115 No Longer Valid
116 No Longer Valid
117 Cardiac Pacemaker Revision Except Device Replacement
118 Cardiac Pacemaker Device Replacement
119 Vein Ligation & Stripping
120 Other Circulatory System O.R. Procedures
121 Circulatory Disorders W Ami & Major Comp, Discharged Alive
122 Circulatory Disorders W Ami W/O Major Comp, Discharged Alive
123 Circulatory Disorders W Ami, Expired
124 Circulatory Disorders Except Ami, W Card Cath & Complex Diag
125 Circulatory Disorders Except Ami, W Card Cath W/O Complex Diag
126 Acute & Subacute Endocarditis
127 Heart Failure & Shock
128 Deep Vein Thrombophlebitis
129 Cardiac Arrest, Unexplained
130 Peripheral Vascular Disorders W Cc
131 Peripheral Vascular Disorders W/O Cc
132 Atherosclerosis W Cc
133 Atherosclerosis W/O Cc
134 Hypertension
135 Cardiac Congenital & Valvular Disorders Age >17 W Cc
136 Cardiac Congenital & Valvular Disorders Age >17 W/O Cc
137 Cardiac Congenital & Valvular Disorders Age 0-17
138 Cardiac Arrhythmia & Conduction Disorders W Cc
139 Cardiac Arrhythmia & Conduction Disorders W/O Cc
140 Angina Pectoris
141 Syncope & Collapse W Cc
142 Syncope & Collapse W/O Cc
143 Chest Pain
144 Other Circulatory System Diagnoses W Cc
145 Other Circulatory System Diagnoses W/O Cc
146 Rectal Resection W Cc
147 Rectal Resection W/O Cc
148 Major Small & Large Bowel Procedures W Cc
149 Major Small & Large Bowel Procedures W/O Cc
150 Peritoneal Adhesiolysis W Cc
151 Peritoneal Adhesiolysis W/O Cc
152 Minor Small & Large Bowel Procedures W Cc
153 Minor Small & Large Bowel Procedures W/O Cc
154 Stomach, Esophageal & Duodenal Procedures Age >17 W Cc
155 Stomach, Esophageal & Duodenal Procedures Age >17 W/O Cc
156 Stomach, Esophageal & Duodenal Procedures Age 0-17
157 Anal & Stomal Procedures W Cc
158 Anal & Stomal Procedures W/O Cc
159 Hernia Procedures Except Inguinal & Femoral Age >17 W Cc
160 Hernia Procedures Except Inguinal & Femoral Age >17 W/O Cc
161 Inguinal & Femoral Hernia Procedures Age >17 W Cc
162 Inguinal & Femoral Hernia Procedures Age >17 W/O Cc
163 Hernia Procedures Age 0-17
164 Appendectomy W Complicated Principal Diag W Cc
165 Appendectomy W Complicated Principal Diag W/O Cc
166 Appendectomy W/O Complicated Principal Diag W Cc
167 Appendectomy W/O Complicated Principal Diag W/O Cc
168 Mouth Procedures W Cc
169 Mouth Procedures W/O Cc
170 Other Digestive System O.R. Procedures W Cc
171 Other Digestive System O.R. Procedures W/O Cc
172 Digestive Malignancy W Cc
173 Digestive Malignancy W/O Cc
174 G.I. Hemorrhage W Cc
175 G.I. Hemorrhage W/O Cc
176 Complicated Peptic Ulcer
177 Uncomplicated Peptic Ulcer W Cc
178 Uncomplicated Peptic Ulcer W/O Cc
179 Inflammatory Bowel Disease
180 G.I. Obstruction W Cc
181 G.I. Obstruction W/O Cc
182 Esophagitis, Gastroent & Misc Digest Disorders Age >17 W Cc
183 Esophagitis, Gastroent & Misc Digest Disorders Age >17 W/O Cc
184 Esophagitis, Gastroent & Misc Digest Disorders Age 0-17
185 Dental & Oral Dis Except Extractions & Restorations, Age >17
186 Dental & Oral Dis Except Extractions & Restorations, Age 0-17
187 Dental Extractions & Restorations
188 Other Digestive System Diagnoses Age >17 W Cc
189 Other Digestive System Diagnoses Age >17 W/O Cc
190 Other Digestive System Diagnoses Age 0-17
191 Pancreas, Liver & Shunt Procedures W Cc
192 Pancreas, Liver & Shunt Procedures W/O Cc
193 Biliary Tract Proc Except Only Cholecyst W Or W/O C.D.E. W Cc
194 Biliary Tract Proc Except Only Cholecyst W Or W/O C.D.E. W/O Cc
195 Cholecystectomy W C.D.E. W Cc
196 Cholecystectomy W C.D.E. W/O Cc
197 Cholecystectomy Except By Laparoscope W/O C.D.E. W Cc
198 Cholecystectomy Except By Laparoscope W/O C.D.E. W/O Cc
199 Hepatobiliary Diagnostic Procedure For Malignancy
200 Hepatobiliary Diagnostic Procedure For Non-Malignancy
201 Other Hepatobiliary Or Pancreas O.R. Procedures
202 Cirrhosis & Alcoholic Hepatitis
203 Malignancy Of Hepatobiliary System Or Pancreas
204 Disorders Of Pancreas Except Malignancy
205 Disorders Of Liver Except Malig,Cirr,Alc Hepa W Cc
206 Disorders Of Liver Except Malig,Cirr,Alc Hepa W/O Cc
207 Disorders Of The Biliary Tract W Cc
208 Disorders Of The Biliary Tract W/O Cc
209 No Longer Valid
210 Hip & Femur Procedures Except Major Joint Age >17 W Cc
211 Hip & Femur Procedures Except Major Joint Age >17 W/O Cc
212 Hip & Femur Procedures Except Major Joint Age 0-17
213 Amputation For Musculoskeletal System & Conn Tissue Disorders
214 No Longer Valid
215 No Longer Valid
216 Biopsies Of Musculoskeletal System & Connective Tissue
217 Wnd Debrid & Skn Grft Except Hand,For Muscskelet & Conn Tiss Dis
218 Lower Extrem & Humer Proc Except Hip,Foot,Femur Age >17 W Cc
219 Lower Extrem & Humer Proc Except Hip,Foot,Femur Age >17 W/O Cc
220 Lower Extrem & Humer Proc Except Hip,Foot,Femur Age 0-17
221 No Longer Valid
222 No Longer Valid
223 Major Shoulder/Elbow Proc, Or Other Upper Extremity Proc W Cc
224 Shoulder,Elbow Or Forearm Proc,Exc Major Joint Proc, W/O Cc
225 Foot Procedures
226 Soft Tissue Procedures W Cc
227 Soft Tissue Procedures W/O Cc
228 Major Thumb Or Joint Proc,Or Oth Hand Or Wrist Proc W Cc
229 Hand Or Wrist Proc, Except Major Joint Proc, W/O Cc
230 Local Excision & Removal Of Int Fix Devices Of Hip & Femur
231 No Longer Valid
232 Arthroscopy
233 Other Musculoskelet Sys & Conn Tiss O.R. Proc W Cc
234 Other Musculoskelet Sys & Conn Tiss O.R. Proc W/O Cc
235 Fractures Of Femur
236 Fractures Of Hip & Pelvis
237 Sprains, Strains, & Dislocations Of Hip, Pelvis & Thigh
238 Osteomyelitis
239 Pathological Fractures & Musculoskeletal & Conn Tiss Malignancy
240 Connective Tissue Disorders W Cc
241 Connective Tissue Disorders W/O Cc
242 Septic Arthritis
243 Medical Back Problems
244 Bone Diseases & Specific Arthropathies W Cc
245 Bone Diseases & Specific Arthropathies W/O Cc
246 Non-Specific Arthropathies
247 Signs & Symptoms Of Musculoskeletal System & Conn Tissue
248 Tendonitis, Myositis & Bursitis
249 Aftercare, Musculoskeletal System & Connective Tissue
250 Fx, Sprn, Strn & Disl Of Forearm, Hand, Foot Age >17 W Cc
251 Fx, Sprn, Strn & Disl Of Forearm, Hand, Foot Age >17 W/O Cc
252 Fx, Sprn, Strn & Disl Of Forearm, Hand, Foot Age 0-17
253 Fx, Sprn, Strn & Disl Of Uparm,Lowleg Ex Foot Age >17 W Cc
254 Fx, Sprn, Strn & Disl Of Uparm,Lowleg Ex Foot Age >17 W/O Cc
255 Fx, Sprn, Strn & Disl Of Uparm,Lowleg Ex Foot Age 0-17
256 Other Musculoskeletal System & Connective Tissue Diagnoses
257 Total Mastectomy For Malignancy W Cc
258 Total Mastectomy For Malignancy W/O Cc
259 Subtotal Mastectomy For Malignancy W Cc
260 Subtotal Mastectomy For Malignancy W/O Cc
261 Breast Proc For Non-Malignancy Except Biopsy & Local Excision
262 Breast Biopsy & Local Excision For Non-Malignancy
263 Skin Graft &/Or Debrid For Skn Ulcer Or Cellulitis W Cc
264 Skin Graft &/Or Debrid For Skn Ulcer Or Cellulitis W/O Cc
265 Skin Graft &/Or Debrid Except For Skin Ulcer Or Cellulitis W Cc
266 Skin Graft &/Or Debrid Except For Skin Ulcer Or Cellulitis W/O Cc
267 Perianal & Pilonidal Procedures
268 Skin, Subcutaneous Tissue & Breast Plastic Procedures
269 Other Skin, Subcut Tiss & Breast Proc W Cc
270 Other Skin, Subcut Tiss & Breast Proc W/O Cc
271 Skin Ulcers
272 Major Skin Disorders W Cc
273 Major Skin Disorders W/O Cc
274 Malignant Breast Disorders W Cc
275 Malignant Breast Disorders W/O Cc
276 Non-Malignant Breast Disorders
277 Cellulitis Age >17 W Cc
278 Cellulitis Age >17 W/O Cc
279 Cellulitis Age 0-17
280 Trauma To The Skin, Subcut Tiss & Breast Age >17 W Cc
281 Trauma To The Skin, Subcut Tiss & Breast Age >17 W/O Cc
282 Trauma To The Skin, Subcut Tiss & Breast Age 0-17
283 Minor Skin Disorders W Cc
284 Minor Skin Disorders W/O Cc
285 Amputat Of Lower Limb For Endocrine,Nutrit,& Metabol Disorders
286 Adrenal & Pituitary Procedures
287 Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Disorders
288 O.R. Procedures For Obesity
289 Parathyroid Procedures
290 Thyroid Procedures
291 Thyroglossal Procedures
292 Other Endocrine, Nutrit & Metab O.R. Proc W Cc
293 Other Endocrine, Nutrit & Metab O.R. Proc W/O Cc
294 Diabetes Age >35
295 Diabetes Age 0-35
296 Nutritional & Misc Metabolic Disorders Age >17 W Cc
297 Nutritional & Misc Metabolic Disorders Age >17 W/O Cc
298 Nutritional & Misc Metabolic Disorders Age 0-17
299 Inborn Errors Of Metabolism
300 Endocrine Disorders W Cc
301 Endocrine Disorders W/O Cc
302 Kidney Transplant
303 Kidney,Ureter & Major Bladder Procedures For Neoplasm
304 Kidney,Ureter & Major Bladder Proc For Non-Neopl W Cc
305 Kidney,Ureter & Major Bladder Proc For Non-Neopl W/O Cc
306 Prostatectomy W Cc
307 Prostatectomy W/O Cc
308 Minor Bladder Procedures W Cc
309 Minor Bladder Procedures W/O Cc
310 Transurethral Procedures W Cc
311 Transurethral Procedures W/O Cc
312 Urethral Procedures, Age >17 W Cc
313 Urethral Procedures, Age >17 W/O Cc
314 Urethral Procedures, Age 0-17
315 Other Kidney & Urinary Tract O.R. Procedures
316 Renal Failure
317 Admit For Renal Dialysis
318 Kidney & Urinary Tract Neoplasms W Cc
319 Kidney & Urinary Tract Neoplasms W/O Cc
320 Kidney & Urinary Tract Infections Age >17 W Cc
321 Kidney & Urinary Tract Infections Age >17 W/O Cc
322 Kidney & Urinary Tract Infections Age 0-17
323 Urinary Stones W Cc, &/Or Esw Lithotripsy
324 Urinary Stones W/O Cc
325 Kidney & Urinary Tract Signs & Symptoms Age >17 W Cc
326 Kidney & Urinary Tract Signs & Symptoms Age >17 W/O Cc
327 Kidney & Urinary Tract Signs & Symptoms Age 0-17
328 Urethral Stricture Age >17 W Cc
329 Urethral Stricture Age >17 W/O Cc
330 Urethral Stricture Age 0-17
331 Other Kidney & Urinary Tract Diagnoses Age >17 W Cc
332 Other Kidney & Urinary Tract Diagnoses Age >17 W/O Cc
333 Other Kidney & Urinary Tract Diagnoses Age 0-17
334 Major Male Pelvic Procedures W Cc
335 Major Male Pelvic Procedures W/O Cc
336 Transurethral Prostatectomy W Cc
337 Transurethral Prostatectomy W/O Cc
338 Testes Procedures, For Malignancy
339 Testes Procedures, Non-Malignancy Age >17
340 Testes Procedures, Non-Malignancy Age 0-17
341 Penis Procedures
342 Circumcision Age >17
343 Circumcision Age 0-17
344 Other Male Reproductive System O.R. Procedures For Malignancy
345 Other Male Reproductive System O.R. Proc Except For Malignancy
346 Malignancy, Male Reproductive System, W Cc
347 Malignancy, Male Reproductive System, W/O Cc
348 Benign Prostatic Hypertrophy W Cc
349 Benign Prostatic Hypertrophy W/O Cc
350 Inflammation Of The Male Reproductive System
351 Sterilization, Male
352 Other Male Reproductive System Diagnoses
353 Pelvic Evisceration, Radical Hysterectomy & Radical Vulvectomy
354 Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W Cc
355 Uterine,Adnexa Proc For Non-Ovarian/Adnexal Malig W/O Cc
356 Female Reproductive System Reconstructive Procedures
357 Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy
358 Uterine & Adnexa Proc For Non-Malignancy W Cc
359 Uterine & Adnexa Proc For Non-Malignancy W/O Cc
360 Vagina, Cervix & Vulva Procedures
361 Laparoscopy & Incisional Tubal Interruption
362 Endoscopic Tubal Interruption
363 ='D&C, Conization & Radio-Implant, For Malignancy'
364 ='D&C, Conization Except For Malignancy'
365 Other Female Reproductive System O.R. Procedures
366 Malignancy, Female Reproductive System W Cc
367 Malignancy, Female Reproductive System W/O Cc
368 Infections, Female Reproductive System
369 Menstrual & Other Female Reproductive System Disorders
370 Cesarean Section W Cc
371 Cesarean Section W/O Cc
372 Vaginal Delivery W Complicating Diagnoses
373 Vaginal Delivery W/O Complicating Diagnoses
374 ='Vaginal Delivery W Sterilization &/Or D&C'
375 ='Vaginal Delivery W O.R. Proc Except Steril &/Or D&C'
376 Postpartum & Post Abortion Diagnoses W/O O.R. Procedure
377 Postpartum & Post Abortion Diagnoses W O.R. Procedure
378 Ectopic Pregnancy
379 Threatened Abortion
380 ='Abortion W/O D&C'
381 ='Abortion W D&C, Aspiration Curettage Or Hysterotomy'
382 False Labor
383 Other Antepartum Diagnoses W Medical Complications
384 Other Antepartum Diagnoses W/O Medical Complications
385 Neonates, Died Or Transferred To Another Acute Care Facility
386 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
387 Prematurity W Major Problems
388 Prematurity W/O Major Problems
389 Full Term Neonate W Major Problems
390 Neonate W Other Significant Problems
391 Normal Newborn
392 Splenectomy Age >17
393 Splenectomy Age 0-17
394 Other O.R. Procedures Of The Blood And Blood Forming Organs
395 Red Blood Cell Disorders Age >17
396 Red Blood Cell Disorders Age 0-17
397 Coagulation Disorders
398 Reticuloendothelial & Immunity Disorders W Cc
399 Reticuloendothelial & Immunity Disorders W/O Cc
400 No Longer Valid
401 Lymphoma & Non-Acute Leukemia W Other O.R. Proc W Cc
402 Lymphoma & Non-Acute Leukemia W Other O.R. Proc W/O Cc
403 Lymphoma & Non-Acute Leukemia W Cc
404 Lymphoma & Non-Acute Leukemia W/O Cc
405 Acute Leukemia W/O Major O.R. Procedure Age 0-17
406 Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R.Proc W Cc
407 Myeloprolif Disord Or Poorly Diff Neopl W Maj O.R.Proc W/O Cc
408 Myeloprolif Disord Or Poorly Diff Neopl W Other O.R.Proc
409 Radiotherapy
410 Chemotherapy W/O Acute Leukemia As Secondary Diagnosis
411 History Of Malignancy W/O Endoscopy
412 History Of Malignancy W Endoscopy
413 Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Cc
414 Other Myeloprolif Dis Or Poorly Diff Neopl Diag W/O Cc
415 O.R. Procedure For Infectious & Parasitic Diseases
416 Septicemia Age >17
417 Septicemia Age 0-17
418 Postoperative & Post-Traumatic Infections
419 Fever Of Unknown Origin Age >17 W Cc
420 Fever Of Unknown Origin Age >17 W/O Cc
421 Viral Illness Age >17
422 Viral Illness & Fever Of Unknown Origin Age 0-17
423 Other Infectious & Parasitic Diseases Diagnoses
424 O.R. Procedure W Principal Diagnoses Of Mental Illness
425 Acute Adjustment Reaction & Psychosocial Dysfunction
426 Depressive Neuroses
427 Neuroses Except Depressive
428 Disorders Of Personality & Impulse Control
429 Organic Disturbances & Mental Retardation
430 Psychoses
431 Childhood Mental Disorders
432 Other Mental Disorder Diagnoses
433 Alcohol/Drug Abuse Or Dependence, Left Ama
434 No Longer Valid
435 No Longer Valid
436 No Longer Valid
437 No Longer Valid
438 No Longer Valid
439 Skin Grafts For Injuries
440 Wound Debridements For Injuries
441 Hand Procedures For Injuries
442 Other O.R. Procedures For Injuries W Cc
443 Other O.R. Procedures For Injuries W/O Cc
444 Traumatic Injury Age >17 W Cc
445 Traumatic Injury Age >17 W/O Cc
446 Traumatic Injury Age 0-17
447 Allergic Reactions Age >17
448 Allergic Reactions Age 0-17
449 Poisoning & Toxic Effects Of Drugs Age >17 W Cc
450 Poisoning & Toxic Effects Of Drugs Age >17 W/O Cc
451 Poisoning & Toxic Effects Of Drugs Age 0-17
452 Complications Of Treatment W Cc
453 Complications Of Treatment W/O Cc
454 Other Injury, Poisoning & Toxic Effect Diag W Cc
455 Other Injury, Poisoning & Toxic Effect Diag W/O Cc
456 No Longer Valid
457 No Longer Valid
458 No Longer Valid
459 No Longer Valid
460 No Longer Valid
461 O.R. Proc W Diagnoses Of Other Contact W Health Services
462 Rehabilitation
463 Signs & Symptoms W Cc
464 Signs & Symptoms W/O Cc
465 Aftercare W History Of Malignancy As Secondary Diagnosis
466 Aftercare W/O History Of Malignancy As Secondary Diagnosis
467 Other Factors Influencing Health Status
468 Extensive O.R. Procedure Unrelated To Principal Diagnosis
469 Principal Diagnosis Invalid As Discharge Diagnosis
470 Ungroupable
471 Bilateral Or Multiple Major Joint Procs Of Lower Extremity
472 No Longer Valid
473 Acute Leukemia W/O Major O.R. Procedure Age >17
474 No Longer Valid
475 Respiratory System Diagnosis With Ventilator Support
476 Prostatic O.R. Procedure Unrelated To Principal Diagnosis
477 Non-Extensive O.R. Procedure Unrelated To Principal Diagnosis
478 No Longer Valid
479 Other Vascular Procedures W/O Cc
480 Liver Transplant And/Or Intestinal Transplant
481 Bone Marrow Transplant
482 Tracheostomy For Face,Mouth & Neck Diagnoses
483 No Longer Valid
484 Craniotomy For Multiple Significant Trauma
485 Limb Reattachment, Hip And Femur Proc For Multiple Significant Tra
486 Other O.R. Procedures For Multiple Significant Trauma
487 Other Multiple Significant Trauma
488 Hiv W Extensive O.R. Procedure
489 Hiv W Major Related Condition
490 Hiv W Or W/O Other Related Condition
491 Major Joint & Limb Reattachment Procedures Of Upper Extremity
492 Chemotherapy W Acute Leukemia Or W Use Of Hi Dose Chemoagent
493 Laparoscopic Cholecystectomy W/O C.D.E. W Cc
494 Laparoscopic Cholecystectomy W/O C.D.E. W/O Cc
495 Lung Transplant
496 Combined Anterior/Posterior Spinal Fusion
497 Spinal Fusion Except Cervical W Cc
498 Spinal Fusion Except Cervical W/O Cc
499 Back & Neck Procedures Except Spinal Fusion W Cc
500 Back & Neck Procedures Except Spinal Fusion W/O Cc
501 Knee Procedures W Pdx Of Infection W Cc
502 Knee Procedures W Pdx Of Infection W/O Cc
503 Knee Procedures W/O Pdx Of Infection
504 Exten. Burns Or Full Thickness Burn W/Mv 96+Hrs W/Skin Gft
505 Exten. Burns Or Full Thickness Burn W/Mv 96+Hrs W/O Skin Gft
506 Full Thickness Burn W Skin Graft Or Inhal Inj W Cc Or Sig Trauma
507 Full Thickness Burn W Skin Grft Or Inhal Inj W/O Cc Or Sig Trauma
508 Full Thickness Burn W/O Skin Grft Or Inhal Inj W Cc Or Sig Trauma
509 Full Thickness Burn W/O Skin Grft Or Inh Inj W/O Cc Or Sig Trauma
510 Non-Extensive Burns W Cc Or Significant Trauma
511 Non-Extensive Burns W/O Cc Or Significant Trauma
514 No Longer Valid
524 Transient Ischemia
541 Ecmo Or Trach W Mv 96+Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.R.
529 Ventricular Shunt Procedures W Cc
542 Trach W Mv 96+Hrs Or Pdx Exc Face, Mouth & Neck W/O Maj O.R.
531 Spinal Procedures W Cc
543 Craniotomy W/Implant Of Chemo Agent Or Acute Complx Cns Pdx
533 Extracranial Procedures W Cc
551 Permanent Cardiac Pacemaker Impl W Maj Cv Dx Or Aicd Lead Or Gnrtr
535 Cardiac Defib Implant W Cardiac Cath W Ami/Hf/Shock
559 Acute Ischemic Stroke With Use Of Thrombolytic Agent
537 Local Excis & Remov Of Int Fix Dev Except Hip & Femur W Cc
539 Lymphoma & Leukemia W Major Or Procedure W Cc
528 Intracranial Vascular Proc W Pdx Hemorrhage
530 Ventricular Shunt Procedures W/O Cc
532 Spinal Procedures W/O Cc
534 Extracranial Procedures W/O Cc
536 Cardiac Defib Implant W Cardiac Cath W/O Ami/Hf/Shock
538 Local Excis & Remov Of Int Fix Dev Except Hip & Femur W/O Cc
540 Lymphoma & Leukemia W Major Or Procedure W/O Cc
515 Cardiac Defibrillator Implant W/O Cardiac Cath
516 No Longer Valid
517 No Longer Valid
518 Perc Cardio Proc W/O Coronary Artery Stent Or Ami
512 Simultaneous Pancreas/Kidney Transplant
513 Pancreas Transplant
519 Cervical Spinal Fusion W Cc
520 Cervical Spinal Fusion W/O Cc
521 Alcohol/Drug Abuse Or Dependence W Cc
522 Alc/Drug Abuse Or Depend W Rehabilitation Therapy W/O Cc
523 Alc/Drug Abuse Or Depend W/O Rehabilitation Therapy W/O Cc
544 Major Joint Replacement Or Reattachment Of Lower Extremity
545 Revision Of Hip Or Knee Replacement
547 Coronary Bypass W Cardiac Cath W Major Cv Dx
548 Coronary Bypass W Cardiac Cath W/O Major Cv Dx
549 Coronary Bypass W/O Cardiac Cath W Major Cv Dx
550 Coronary Bypass W/O Cardiac Cath W/O Major Cv Dx
554 Other Vascular Procedures W Cc W/O Major Cv Dx
556 Percutaneous Cardiovasc Proc W Non-Drug-Eluting Stent W/O Maj Cv Dx
558 Percutaneous Cardiovascular Proc W Drug-Eluting Stent W/O Maj Cv Dx
525 Other Heart Assist System Implant
526 No Longer Valid
527 No Longer Valid
546 Spinal Fusion Exc Cerv With Curvature Of The Spine Or Malig
552 Other Permanent Cardiac Pacemaker Implant W/O Major Cv Dx
553 Other Vascular Procedures W Cc W Major Cv Dx
555 Percutaneous Cardiovascular Proc W Major Cv Dx
557 Percutaneous Cardiovascular Proc W Drug-Eluting Stent W Major Cv Dx