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237 DOC - Australian hospital statistics table A313

By Grace Ramos,2014-05-06 11:47
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237 DOC - Australian hospital statistics table A313

Table A3.13: ICD-10-AM and ICD-9-CM codes for selected tables.

    Selected procedures in Tables 4.6 and 4.7

    Category ICD-10-AM codes

    Appendicectomy Block [926]

    Coronary artery bypass graft Blocks [672][679]

    Coronary Angioplasty Blocks [669], [671], codes 35304-00, 35305-00 Caesarean section Block [1340]

    In-hospital births are identified by diagnosis code Z37 in any diagnosis field.

    Cholecystectomy Block [965]

    Diagnostic gastrointestinal Codes 30473-03, 41822-00, 30473-04, 30473-00, 30473-05, 30473-01, 32090-0,132084-01 endoscopies Blocks [894], [905], [1005][1008] (without 30473-02) Hip replacement Block [1492], codes 4752200, 4931500, 4931800, 4931900 Revision of hip replacement Block [1492] (Note: a subset of Hip replacements) Hysterectomy Blocks [1268], [1269], codes 90450-00 and 90450-01 Lens insertion Codes 42701-01, 42702-00 to 42702-11, 42703-00, 42710-00, 42707-00, 42701-00

    Myringotomy Codes 41632-00, 41632-01

    Knee replacement Blocks [1518], [1519], [1523], code 49527-00 Prostatectomy Blocks [1165], [1167], codes 37203-06, 37207-00, 37207-01, 90407-00, 36839-01, 36839-03

    Arthroscopic procedures Codes 50100-00, 49118-00, 49218-00, 49360-00, 49557-00, 49700-00, 53215-00, 48945-00, 53218-02, 53218-00, 53218-01, 48954-00, 48948-01, 90600-00, 48945-01, 48948-00, 48948-02, 48951-00, 48957-00, 48960-00, 49121-00, 49121-01, 49121-04, 49118-01, 49109-00, 49121-02, 49121-03, 49221-00, 49221-01, 49221-02, 49218-01, 49224-00, 49224-01, 49224-02, 49227-00, 49366-01, 49366-00, 49363-00, 49560-00, 49560-02, 49557-01, 49557-02, 49558-00, 49560-01, 49560-03, 49566-00, 49561-02, 49562-02, 49561-00, 49562-00, 49561-01, 49562-01, 49558-01, 49558-02, 49559-00, 49563-00, 49539-00, 49542-00, 49703-00, 49703-02, 49700-01, 49703-01, 49703-04, 49703-03, 50100-01, 50102-00, 49703-05 Tonsillectomy Codes 41789-00, 41789-01, 41787-01, 41786-01

    (continued)

    Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables. Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and Tables 4.8 and 4.9

    Category ICD-10-AM and ICD-9-CM codes

    Vaccine-preventable:

    Influenza and pneumonia ICD-10-AM

    J10, J11, J13, J14, J153, J154, J157, J159, J168, J181, J188 in any diagnosis field, excludes cases with additional diagnosis of D57 (sickle-cell disorders) and people under 2 months.

    ICD-9-CM

    481 4870 4871 4878 4822 4823 4829 483 in any diagnosis field, excludes cases with secondary diagnosis of 2826 and people under 2 months. Other vaccine-preventable ICD-10-AM conditions A35, A36, A37, A80, B05, B06, B161, B169, B180, B181, B26, G000, M014 in any diagnosis field.

    ICD-9-CM

    032 033 037 045 055 056 0703 072 3200 in any diagnosis field. Chronic

    Asthma ICD-10-AM

    J45, J46 as principal diagnosis only.

    ICD-9-CM

    493 as principal diagnosis only.

    Congestive cardiac failure ICD-10-AM

    I50, I110, J81 as principal diagnosis only, exclude cases with the following procedure codes:

    33172-00, 35304-00, 35305-00, 35310-02, 35310-00, 38281-11, 38281-07, 38278-01, 38278-00, 38281-02, 38281-01, 38281-00, 38256-00, 38278-03, 38284-00, 38284-02, 38521-09, 38270-01, 38456-19, 38456-15, 38456-12, 38456-11, 38456-10, 38456-07, 38456-01, 38470-00, 38475-00, 38480-02, 38480-01, 38480-00, 38488-06, 38488-04, 38489-04, 38488-02, 38489-03, 38487-00, 38489-02, 38488-00, 38489-00, 38490-00, 38493-00, 38497-04, 38497-03, 38497-02, 38497-01, 38497-00, 38500-00, 38503-00, 38505-00, 38521-04, 38606-00, 38612-00, 38615-00, 38653-00, 38700-02, 38700-00, 38739-00, 38742-02, 38742-00, 38745-00, 38751-02, 38751-00, 38757-02, 38757-01, 38757-00, 90204-00, 90205-00, 90219-00, 90224-00

    ICD-9-CM

    428 40201 40211 40291 5184, as principal diagnosis only, exclude cases with procedure codes of 35 36 375 376 377 378. Diabetes complications ICD-10-AM

    E101, E102, E103, E104, E105, E106, E107, E108, E110, E111, E112, E113, E114, E115, E116, E117, E118, E130, E131, E132, E133, E134, E135, E136, E137, E138, E140, E141, E142, E143, E144, E145, E146, E147, E148 in any diagnosis field.

    ICD-9-CM

    2501 2502 2503 2504 2505 2506 2507 2508 2509 in any diagnosis field. COPD ICD-10-AM

    J20, J41, J42, J43, J44, J47 as principal diagnosis only, J20 only with additional diagnoses of J41, J42, J43, J47, J44.

    ICD-9-CM

    491 492 494 496 4660 as principal diagnosis only, 4660 only with additional diagnosis of 491 492 494 496.

    (continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.

    Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and Tables 4.8 and 4.9 (continued)

    Category ICD-10-AM and ICD-9-CM codes

    Angina ICD-10-AM

    I20, I240, I248, I249 as principal diagnosis only, exclude cases with procedure codes NOT in blocks 1820 to 2016.

    ICD-9-CM

    4111 4118 413 as principal diagnosis only, exclude cases with procedure codes 1 to 8699.

    Iron deficiency anaemia ICD-10-AM

    D501, D508, D509 as principal diagnosis only.

    ICD-9-CM

    2801 2808 2809 as principal diagnosis only. Hypertension ICD-10-AM

    I10, I119 as principal diagnosis only, exclude cases with procedure codes according to the list of procedures excluded from the Congestive cardiac failure category above.

    ICD-9-CM

    4010 4019 40200 40210 40290 as principal diagnosis only, exclude cases with procedure codes of 35 36 375 376 377 378. Nutritional deficiencies ICD-10-AM

    E40, E41, E42, E43, E550, E643 as principal diagnosis only.

    ICD-9-CM

    260 261 262 2680 2681 as principal diagnosis only. Acute

    Dehydration and gastroenteritis ICD-10-AM

    E86, K522, K528, K529 as principal diagnosis only.

    ICD-9-CM

    2765 5589 as principal diagnosis only. Pyelonephritis ICD-10-AM

    N390, N10, N12, N11, N136 as principal diagnosis only.

    ICD-9-CM

    5900 5901 5908 5990 as principal diagnosis only. Perforated/bleeding ulcer ICD-10-AM

    K250, K251, K252, K254, K255, K256, K260, K261, K262, K264, K265, K266, K270, K271, K272, K274, K275, K276, K280, K281, K282, K284, K285, K286 as principal diagnosis only.

    ICD-9-CM

    5310 5311 5312 5314 5315 5316 5320 5321 5322 5324 5325 5326 5330 5331 5332 5334 5335 5336 5340 5341 5342 5344 5345 5346 as principal diagnosis only.

    Cellulitis ICD-10-AM

    L03, L04, L08, L980, L88, L983 as principal diagnosis only, exclude cases with any procedure except those in blocks 1820 to 2016 or if procedure is 30216-02, 30676-00, 30223-02, 30064-00, 34527-01, 34527-00, 90661-00 and this is the only listed procedure.

    ICD-9-CM

    681 682 683 686 as principal diagnosis only, exclude cases with procedure codes of 01 to 8699, except 860 where it is the only listed procedure.

    (continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.

    Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and Tables 4.8 and 4.9 (continued)

    Category ICD-10-AM and ICD-9-CM codes Pelvic inflammatory disease ICD-10-AM

    N70, N73, N74 as principal diagnosis only.

    ICD-9-CM

    614 as principal diagnosis only. Ear, nose and throat infections ICD-10-AM

    H66, H67, J02, J03, J06, J312 as principal diagnosis only.

    ICD-9-CM

    382 462 463 465 4721 as principal diagnosis only. Dental conditions ICD-10-AM

    K02, K03, K04, K05, K06, K08, K098, K099, K12, K13 as principal diagnosis only.

    ICD-9-CM

    521 522 523 525 528 as principal diagnosis only. Appendicitis ICD-10-AM

    K35, K36, K37 in any diagnosis field.

    ICD-9-CM

    540 541 542 in any diagnosis field. Convulsions and epilepsy ICD-10-AM

    O15, G40, G41, R56 as principal diagnosis only.

    ICD-9-CM

    345 7803 6426 as principal diagnosis only. Gangrene ICD-10-AM

    R02 in any diagnosis field.

    ICD-9-CM

    7854 in any diagnosis field.

    Selected diagnosis codes presented in Hospitals at a glance

    Category ICD-10-AM codes

    Delivery and caesarean delivery Z37 in any diagnosis field

    Fractures S02, S12, S220, S221, S222, S223, S224, S228, S229, S32, S42, S52, S62, S72, S82, S92, T02, T080, T081, T100, T101, T120, T121, T142 as principal diagnosis only.

    Asthma and chronic obstructive J45, J46 as principal diagnosis only. pulmonary disease J20, J41, J42, J43, J44, J47 as principal diagnosis only, J20 only with additional diagnoses of J41, J42, J43, J47, J44. Angina pectoris I20, I240, I248, I249 as principal diagnosis only, exclude cases with procedure codes NOT in blocks 1820 to 2016.

    Depression F32, F33 as principal diagnosis only. Rhematoid and osteoarthritis M05, M06, M15, M16, M17, M18, M19 as principal diagnosis only. arthritis

    Influenza and pneumonia J10, J11, J12, J13, J14, J153, J154, J157, J159, J168, J181, J188, as principal diagnosis only.

    Diabetes E10, E11, E13, E14 in any diagnosis field. Heart failure I50 as principal diagnosis only. Acute myocardial infarction I21 as principal diagnosis only. Colorectal cancer C18, C19, C20, C21 as principal diagnosis only.

    Ulcer (digestive system) K25, K26, K27, K28 as principal diagnosis only.

    (continued) Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.

    Selected procedure codes presented in Hospitals at a glance

    Category ICD-10-AM and ICD-9-CM codes

    Coronary artery bypass graft Blocks [672][679]

    Hip replacement Block [1492], codes 4752200, 4931500, 4931800, 4931900 Prostatectomy Blocks [1165], [1167], codes 37203-06, 37207-00, 37207-01, 90407-00, 36839-01, 36839-03

    Release of carpal and tarsal tunnel Codes 39331-00, 39331-01, 39330-01

    Appendicectomy Block [926]

    Hysterectomy Blocks [1268], [1269], codes 90450-00 and 90450-01 Inguinal herniorrhaphy Codes 30614-03, 30615-00, 30609-03, 30614-02, 30609-02 Dilation and curretage of uterus Codes 35640-00, 35643-00

    Lens insertion Codes 42701-01, 42702-00 to 42702-11, 42703-00, 42710-00, 42707-00, 42701-00

    Chemotherapy administration

    (a) ICD-9-CM

    Code 9925

    ICD-10-AM

    Block [1780]

    Panendoscopy Codes 30476-03, 32095-00, 30568-00, 30569-00, 30473-05, 30473-00, 30473-02, 30478-00, 30478-14, 30478-01, 30478-02, 30478-03, 30478-15, 30478-16, 30478-17, 30478-20, 30478-21, 30473-01, 30478-04, 30473-06, 30478-18. Haemodialysis Block [1060]

    (a) For figure 9 in Hospitals at a glance, ICD-10-AM procedure codes 13915-00, 13918-00 and 13921-00 were used.

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