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Patient Safety Indicator 09 (PSI 09) Perioperative ...

AHRQ Quality Indicators (AHRQ QI ) ICD-10-CM/PCS Specification Version by: Agency for Healthcare Research and Quality Department of Health and Human Services , among cases meeting the inclusion and exclusion rules for the denominator, with: any secondary ICD-10-CM diagnosis codes for Perioperative hemorrhage or hematoma (POHMRI2D*) and any-listed ICD-10-PCS procedure codes for treatment of hemorrhage or hematoma* (HEMOTH2P*)*The ICD-10-CM specification is limited to postoperative hemorrhage or hemorrhage or hematoma cases involving a procedure to treat the hemorrhage or hematoma, following surgery per 1,000 surgical discharges for patients ages 18 years and older. Excludes cases with a diagnosis of coagulation disorder; cases with a principal diagnosis of Perioperative hemorrhage or hematoma; cases with a secondary diagnosis of Perioperative hemorrhage or hematoma present on admission; cases where the only operating room procedure is for treatment of Perioperative hemorrhage or hematoma; obstetric cases.

AHRQ QI™ ICD-10-CM/PCS Specification Version 7.0 PSI 09 Perioperative Hemorrhage or Hematoma Rate www.qualityindicators.ahrq.gov DENOMINATOR * See below for …

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Transcription of Patient Safety Indicator 09 (PSI 09) Perioperative ...

1 AHRQ Quality Indicators (AHRQ QI ) ICD-10-CM/PCS Specification Version by: Agency for Healthcare Research and Quality Department of Health and Human Services , among cases meeting the inclusion and exclusion rules for the denominator, with: any secondary ICD-10-CM diagnosis codes for Perioperative hemorrhage or hematoma (POHMRI2D*) and any-listed ICD-10-PCS procedure codes for treatment of hemorrhage or hematoma* (HEMOTH2P*)*The ICD-10-CM specification is limited to postoperative hemorrhage or hemorrhage or hematoma cases involving a procedure to treat the hemorrhage or hematoma, following surgery per 1,000 surgical discharges for patients ages 18 years and older. Excludes cases with a diagnosis of coagulation disorder; cases with a principal diagnosis of Perioperative hemorrhage or hematoma; cases with a secondary diagnosis of Perioperative hemorrhage or hematoma present on admission; cases where the only operating room procedure is for treatment of Perioperative hemorrhage or hematoma; obstetric cases.

2 [NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report events per 1,000 hospital discharges.]Provider-Level IndicatorType of Score: RatePatient Safety Indicator 09 (PSI 09) Perioperative Hemorrhage or Hematoma RateJuly 2017 July 20171 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma * See below for code listAppendix E - Surgical Discharge MS-DRGs (for discharges on or after October 1, 2007)DENOMINATOR EXCLUSIONSE xclude cases: with a principal ICD-10-CM diagnosis code for Perioperative hemorrhage or postoperative hematoma (POHMRI2D*) among patients otherwise qualifying for numerator with a secondary ICD-10-CM diagnosis present on admission for Perioperative hemorrhage or postoperative hematoma (POHMRI2D*).

3 Where the only operating room procedure is for treatment of Perioperative hemorrhage or hematoma (HEMOTH2P*) and with any secondary ICD-10-CM diagnosis codes for Perioperative hemorrhage or hematoma (POHMRI2D*) where the treatment of Perioperative hemorrhage or hematoma occurs one day or more before the first operating room procedure** (HEMOTH2P*) and with any secondary ICD-10-CM diagnosis codes for Perioperative hemorrhage or hematoma (POHMRI2D*) with any listed ICD-10-CM diagnosis codes for coagulation disorder (COAGDID*) MDC 14 (pregnancy, childbirth, and puerperium) with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing) **If day of procedure is not available in the input data file, the rate may be slightly lower than if the information were discharges (Appendix E), for patients ages 18 years and older, with any listed ICD-10-PCS procedure codes for an operating room procedure (Appendix A).

4 Surgical discharges are defined by specific MS-DRG A - Operating Room Procedure CodesJuly 20172 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma hemorrhage or hematoma diagnosis codes: (POHMRI2D)D7821 Postprocedural hemorrhage of the spleen following a procedure on the spleenH9551 Postprocedural hematoma of ear and mastoid process following a procedure on the ear and mastoid processD7822 Postprocedural hemorrhage of the spleen following other procedureH9552 Postprocedural hematoma of ear and mastoid process following other procedureD7831 Postprocedural hematoma of the spleen following a procedure on the spleenI97610 Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterizationD7832 Postprocedural hematoma of the spleen following other procedureI97611 Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypassE89810 Postprocedural hemorrhage of an endocrine system organ or structure following an endocrine system procedureI97618 Postprocedural hemorrhage of a circulatory system organ or structure following other

5 Circulatory system procedureE89811 Postprocedural hemorrhage of an endocrine system organ or structure following other procedureI9762 Postprocedural hemorrhage and hematoma of a circulatory system organ or structure following other procedureE89820 Postprocedural hematoma of an endocrine system organ or structure following an endocrine system procedureI97620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedureE89821 Postprocedural hematoma of an endocrine system organ or structure following other procedureI97621 Postprocedural hematoma of a circulatory system organ or structure following other procedureG9751 Postprocedural hemorrhage of a nervous system organ or structure following a nervous system procedureI97630 Postprocedural hematoma of a circulatory system organ or structure following a cardiac catheterizationG9752 Postprocedural hemorrhage of a nervous system organ or structure following other procedureI97631 Postprocedural hematoma of a circulatory system organ or structure following cardiac bypassG9761 Postprocedural hematoma of a nervous system organ or structure following a nervous system procedureI97638 Postprocedural hematoma of a circulatory system organ or structure following other circulatory system procedureG9762 Postprocedural hematoma of a nervous system organ or structure following other procedureJ95830 Postprocedural hemorrhage of a respiratory system organ or structure following a respiratory system procedureJuly 20173 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma hemorrhage of right eye and adnexa following an ophthalmic procedureJ95831 Postprocedural hemorrhage of a respiratory system organ or structure following other procedureH59312 Postprocedural hemorrhage of left eye

6 And adnexa following an ophthalmic procedureJ95860 Postprocedural hematoma of a respiratory system organ or structure following a respiratory system procedureH59313 Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure, bilateralJ95861 Postprocedural hematoma of a respiratory system organ or structure following other procedureH59319 Postprocedural hemorrhage of unspecified eye and adnexa following an ophthalmic procedureK91840 Postprocedural hemorrhage of a digestive system organ or structure following a digestive system procedureH59321 Postprocedural hemorrhage of right eye and adnexa following other procedureK91841 Postprocedural hemorrhage of a digestive system organ or structure following other procedureH59322 Postprocedural hemorrhage of left eye and adnexa following other procedureK91870 Postprocedural hematoma of a digestive system organ or structure following a digestive system procedureH59323 Postprocedural hemorrhage of eye and adnexa following other procedure.

7 BilateralK91871 Postprocedural hematoma of a digestive system organ or structure following other procedureH59329 Postprocedural hemorrhage of unspecified eye and adnexa following other procedureL7621 Postprocedural hemorrhage of skin and subcutaneous tissue following a dermatologic procedureH59331 Postprocedural hematoma of right eye and adnexa following an ophthalmic procedureL7622 Postprocedural hemorrhage of skin and subcutaneous tissue following other procedureH59332 Postprocedural hematoma of left eye and adnexa following an ophthalmic procedureL7631 Postprocedural hematoma of skin and subcutaneous tissue following a dermatologic procedureH59333 Postprocedural hematoma of eye and adnexa following an ophthalmic procedure, bilateralL7632 Postprocedural hematoma of skin and subcutaneous tissue following other procedureH59339 Postprocedural hematoma of unspecified eye and adnexa following an ophthalmic procedureM96830 Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedureH59341 Postprocedural hematoma of right eye and adnexa following other procedureM96831 Postprocedural hemorrhage of a musculoskeletal structure following other procedureH59342 Postprocedural hematoma of left eye and adnexa following other procedureM96840 Postprocedural hematoma of a musculoskeletal structure following a musculoskeletal system procedureJuly 20174 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma hematoma of eye and adnexa following other procedure.

8 BilateralM96841 Postprocedural hematoma of a musculoskeletal structure following other procedureH59349 Postprocedural hematoma of unspecified eye and adnexa following other procedureN99820 Postprocedural hemorrhage of a genitourinary system organ or structure following a genitourinary system procedureH9541 Postprocedural hemorrhage of ear and mastoid process following a procedure on the ear and mastoid processN99821 Postprocedural hemorrhage of a genitourinary system organ or structure following other procedureH9542 Postprocedural hemorrhage of ear and mastoid process following other procedureN99840 Postprocedural hematoma of a genitourinary system organ or structure following a genitourinary system procedureN99841 Postprocedural hematoma of a genitourinary system organ or structure following other procedureJuly 20175 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma of Perioperative hemorrhage and evacuation of hematoma procedure codes.

9 (HEMOTH2P)009000 ZDrainage of Brain with Drainage Device, Open Approach06Q94 ZZRepair Right Renal Vein, Percutaneous Endoscopic Approach00900 ZZDrainage of Brain, Open Approach06QB0 ZZRepair Left Renal Vein, Open Approach009030 ZDrainage of Brain with Drainage Device, Percutaneous Approach06QB3 ZZRepair Left Renal Vein, Percutaneous Approach00903 ZZDrainage of Brain, Percutaneous Approach06QB4 ZZRepair Left Renal Vein, Percutaneous Endoscopic Approach009040 ZDrainage of Brain with Drainage Device, Percutaneous Endoscopic Approach06QC0 ZZRepair Right Common Iliac Vein, Open Approach00904 ZZDrainage of Brain, Percutaneous Endoscopic Approach06QC3 ZZRepair Right Common Iliac Vein, Percutaneous Approach009100 ZDrainage of Cerebral Meninges with Drainage Device, Open Approach06QC4 ZZRepair Right Common Iliac Vein, Percutaneous Endoscopic Approach00910 ZZDrainage of Cerebral Meninges, Open Approach06QD0 ZZRepair Left Common Iliac Vein, Open Approach009200 ZDrainage of Dura Mater with Drainage Device, Open Approach06QD3 ZZRepair Left Common Iliac Vein, Percutaneous Approach00920 ZZDrainage of Dura Mater, Open Approach06QD4 ZZRepair Left Common Iliac Vein, Percutaneous Endoscopic Approach009300 ZDrainage of Epidural Space with Drainage Device, Open Approach06QF0 ZZRepair Right External Iliac Vein, Open Approach00930 ZZDrainage of Epidural Space, Open Approach06QF3 ZZRepair Right External Iliac Vein, Percutaneous Approach009330 ZDrainage of Epidural Space with Drainage Device, Percutaneous Approach06QF4 ZZRepair Right External Iliac Vein, Percutaneous Endoscopic Approach00933 ZZDrainage of Epidural Space, Percutaneous Approach06QG0 ZZRepair Left External Iliac Vein, Open Approach009340 ZDrainage of Epidural Space with Drainage Device.

10 Percutaneous Endoscopic Approach06QG3 ZZRepair Left External Iliac Vein, Percutaneous Approach00934 ZZDrainage of Epidural Space, Percutaneous Endoscopic Approach06QG4 ZZRepair Left External Iliac Vein, Percutaneous Endoscopic Approach009400 ZDrainage of Subdural Space with Drainage Device, Open Approach06QH0 ZZRepair Right Hypogastric Vein, Open Approach00940 ZZDrainage of Subdural Space, Open Approach06QH3 ZZRepair Right Hypogastric Vein, Percutaneous Approach009500 ZDrainage of Subarachnoid Space with Drainage Device, Open Approach06QH4 ZZRepair Right Hypogastric Vein, Percutaneous Endoscopic Approach00950 ZZDrainage of Subarachnoid Space, Open Approach06QJ0 ZZRepair Left Hypogastric Vein, Open ApproachJuly 20176 of 107 AHRQ QI ICD-10-CM/PCS Specification Version 09 Perioperative Hemorrhage or Hematoma of Cerebral Ventricle, Open Approach06QJ3 ZZRepair Left Hypogastric Vein, Percutaneous Approach009700 ZDrainage of Cerebral Hemisphere with Drainage Device, Open Approach06QJ4 ZZRepair Left Hypogastric Vein, Percutaneous Endoscopic Approach00970 ZZDrainage of Cerebral Hemisphere, Open Approach06QM0 ZZRepair Right Femoral Vein, Open Approach009730 ZDrainage of Cerebral Hemisphere with Drainage Device, Percutaneous Approach06QM3 ZZRepair Right Femoral Vein, Percutaneous Approach00973 ZZDrainage of Cerebral Hemisphere, Percutaneous Approach06QM4 ZZRepair Right Femoral Vein, Percutaneous Endoscopic Approach009740 ZDrainage of Cerebral Hemisphere with Drainage Device, Percutaneous Endoscopic Approach06QN0 ZZRepair Left Femoral Vein, Open Approach00974 ZZDrainage of Cerebral Hemisphere, Percutaneous Endoscopic Approach06QN3 ZZRepair Left Femoral Vein, Percutaneous Approach009B00 ZDrainage of Pons with Drainage Device, Open Approach06QN4 ZZRepair Left Femoral Vein.


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