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| Appendix I Hospital Acquired Conditions (HACS) List |
| Hospital Acquired Conditions |
| Page 13 of 13 |
HAC 12: SURGICAL SITE INFECTION - CERTAIN ORTHOPEDIC PROCEDURES OF SPINE, SHOULDER AND ELBOW (continued)
PROCEDURES
| 0RUH47Z | Supplement Left Acromioclavicular Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUH4JZ | Supplement Left Acromioclavicular Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0RUH4KZ | Supplement Left Acromioclavicular Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUJ07Z | Supplement Right Shoulder Joint with Autologous Tissue Substitute, Open Approach |
| 0RUJ0JZ | Supplement Right Shoulder Joint with Synthetic Substitute, Open Approach |
| 0RUJ0KZ | Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RUJ37Z | Supplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0RUJ3JZ | Supplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Approach |
| 0RUJ3KZ | Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0RUJ47Z | Supplement Right Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUJ4JZ | Supplement Right Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0RUJ4KZ | Supplement Right Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUK07Z | Supplement Left Shoulder Joint with Autologous Tissue Substitute, Open Approach |
| 0RUK0JZ | Supplement Left Shoulder Joint with Synthetic Substitute, Open Approach |
| 0RUK0KZ | Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RUK37Z | Supplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0RUK3JZ | Supplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Approach |
| 0RUK3KZ | Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0RUK47Z | Supplement Left Shoulder Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUK4JZ | Supplement Left Shoulder Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0RUK4KZ | Supplement Left Shoulder Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUL07Z | Supplement Right Elbow Joint with Autologous Tissue Substitute, Open Approach |
| 0RUL0JZ | Supplement Right Elbow Joint with Synthetic Substitute, Open Approach |
| 0RUL0KZ | Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RUL37Z | Supplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0RUL3JZ | Supplement Right Elbow Joint with Synthetic Substitute, Percutaneous Approach |
| 0RUL3KZ | Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0RUL47Z | Supplement Right Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUL4JZ | Supplement Right Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0RUL4KZ | Supplement Right Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUM07Z | Supplement Left Elbow Joint with Autologous Tissue Substitute, Open Approach |
| 0RUM0JZ | Supplement Left Elbow Joint with Synthetic Substitute, Open Approach |
| 0RUM0KZ | Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Open Approach |
| 0RUM37Z | Supplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0RUM3JZ | Supplement Left Elbow Joint with Synthetic Substitute, Percutaneous Approach |
| 0RUM3KZ | Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0RUM47Z | Supplement Left Elbow Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0RUM4JZ | Supplement Left Elbow Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0RUM4KZ | Supplement Left Elbow Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SG0070 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG0071 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG007J | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG00A0 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0SG00A1 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach |
| 0SG00AJ | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0SG00J0 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG00J1 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG00JJ | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG00K0 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG00K1 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG00KJ | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG00Z0 | Fusion of Lumbar Vertebral Joint, Anterior Approach, Anterior Column, Open Approach |
| 0SG00Z1 | Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Open Approach |
| 0SG00ZJ | Fusion of Lumbar Vertebral Joint, Posterior Approach, Anterior Column, Open Approach |
| 0SG0370 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG0371 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG037J | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03A0 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03A1 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG03AJ | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03J0 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03J1 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG03JJ | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03K0 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03K1 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG03KJ | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03Z0 | Fusion of Lumbar Vertebral Joint, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG03Z1 | Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG03ZJ | Fusion of Lumbar Vertebral Joint, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG0470 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG0471 | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG047J | Fusion of Lumbar Vertebral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04A0 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04A1 | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG04AJ | Fusion of Lumbar Vertebral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04J0 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04J1 | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG04JJ | Fusion of Lumbar Vertebral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04K0 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04K1 | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG04KJ | Fusion of Lumbar Vertebral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04Z0 | Fusion of Lumbar Vertebral Joint, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG04Z1 | Fusion of Lumbar Vertebral Joint, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG04ZJ | Fusion of Lumbar Vertebral Joint, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG1070 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG1071 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG107J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG10A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0SG10A1 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach |
| 0SG10AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0SG10J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG10J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG10JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG10K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG10K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG10KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG10Z0 | Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Open Approach |
| 0SG10Z1 | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Open Approach |
| 0SG10ZJ | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Open Approach |
| 0SG1370 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG1371 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG137J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13A1 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13Z0 | Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG13Z1 | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG13ZJ | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG1470 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG1471 | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG147J | Fusion of 2 or more Lumbar Vertebral Joints with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14A0 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14A1 | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14AJ | Fusion of 2 or more Lumbar Vertebral Joints with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14J0 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14J1 | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14JJ | Fusion of 2 or more Lumbar Vertebral Joints with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14K0 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14K1 | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14KJ | Fusion of 2 or more Lumbar Vertebral Joints with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14Z0 | Fusion of 2 or more Lumbar Vertebral Joints, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG14Z1 | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG14ZJ | Fusion of 2 or more Lumbar Vertebral Joints, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG3070 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG3071 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG307J | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG30A0 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Open Approach |
| 0SG30A1 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Open Approach |
| 0SG30AJ | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Open Approach |
| 0SG30J0 | Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG30J1 | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG30JJ | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG30K0 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Open Approach |
| 0SG30K1 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Open Approach |
| 0SG30KJ | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Open Approach |
| 0SG30Z0 | Fusion of Lumbosacral Joint, Anterior Approach, Anterior Column, Open Approach |
| 0SG30Z1 | Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Open Approach |
| 0SG30ZJ | Fusion of Lumbosacral Joint, Posterior Approach, Anterior Column, Open Approach |
| 0SG3370 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG3371 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG337J | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33A0 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33A1 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG33AJ | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33J0 | Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33J1 | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG33JJ | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33K0 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33K1 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG33KJ | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33Z0 | Fusion of Lumbosacral Joint, Anterior Approach, Anterior Column, Percutaneous Approach |
| 0SG33Z1 | Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Percutaneous Approach |
| 0SG33ZJ | Fusion of Lumbosacral Joint, Posterior Approach, Anterior Column, Percutaneous Approach |
| 0SG3470 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG3471 | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG347J | Fusion of Lumbosacral Joint with Autologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34A0 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34A1 | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG34AJ | Fusion of Lumbosacral Joint with Interbody Fusion Device, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34J0 | Fusion of Lumbosacral Joint with Synthetic Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34J1 | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG34JJ | Fusion of Lumbosacral Joint with Synthetic Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34K0 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34K1 | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG34KJ | Fusion of Lumbosacral Joint with Nonautologous Tissue Substitute, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34Z0 | Fusion of Lumbosacral Joint, Anterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG34Z1 | Fusion of Lumbosacral Joint, Posterior Approach, Posterior Column, Percutaneous Endoscopic Approach |
| 0SG34ZJ | Fusion of Lumbosacral Joint, Posterior Approach, Anterior Column, Percutaneous Endoscopic Approach |
| 0SG704Z | Fusion of Right Sacroiliac Joint with Internal Fixation Device, Open Approach |
| 0SG707Z | Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Open Approach |
| 0SG70JZ | Fusion of Right Sacroiliac Joint with Synthetic Substitute, Open Approach |
| 0SG70KZ | Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SG70ZZ | Fusion of Right Sacroiliac Joint, Open Approach |
| 0SG734Z | Fusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach |
| 0SG737Z | Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0SG73JZ | Fusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach |
| 0SG73KZ | Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0SG73ZZ | Fusion of Right Sacroiliac Joint, Percutaneous Approach |
| 0SG744Z | Fusion of Right Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach |
| 0SG747Z | Fusion of Right Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SG74JZ | Fusion of Right Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SG74KZ | Fusion of Right Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SG74ZZ | Fusion of Right Sacroiliac Joint, Percutaneous Endoscopic Approach |
| 0SG804Z | Fusion of Left Sacroiliac Joint with Internal Fixation Device, Open Approach |
| 0SG807Z | Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Open Approach |
| 0SG80JZ | Fusion of Left Sacroiliac Joint with Synthetic Substitute, Open Approach |
| 0SG80KZ | Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Open Approach |
| 0SG80ZZ | Fusion of Left Sacroiliac Joint, Open Approach |
| 0SG834Z | Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Approach |
| 0SG837Z | Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Approach |
| 0SG83JZ | Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Approach |
| 0SG83KZ | Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0SG83ZZ | Fusion of Left Sacroiliac Joint, Percutaneous Approach |
| 0SG844Z | Fusion of Left Sacroiliac Joint with Internal Fixation Device, Percutaneous Endoscopic Approach |
| 0SG847Z | Fusion of Left Sacroiliac Joint with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SG84JZ | Fusion of Left Sacroiliac Joint with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0SG84KZ | Fusion of Left Sacroiliac Joint with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0SG84ZZ | Fusion of Left Sacroiliac Joint, Percutaneous Endoscopic Approach |
AND
SECONDARY DIAGNOSIS
| T8460XA | Infection and inflammatory reaction due to internal fixation device of unspecified site, initial encounter |
| T84610A | Infection and inflammatory reaction due to internal fixation device of right humerus, initial encounter |
| T84611A | Infection and inflammatory reaction due to internal fixation device of left humerus, initial encounter |
| T84612A | Infection and inflammatory reaction due to internal fixation device of right radius, initial encounter |
| T84613A | Infection and inflammatory reaction due to internal fixation device of left radius, initial encounter |
| T84614A | Infection and inflammatory reaction due to internal fixation device of right ulna, initial encounter |
| T84615A | Infection and inflammatory reaction due to internal fixation device of left ulna, initial encounter |
| T84619A | Infection and inflammatory reaction due to internal fixation device of unspecified bone of arm, initial encounter |
| T8463XA | Infection and inflammatory reaction due to internal fixation device of spine, initial encounter |
| T8469XA | Infection and inflammatory reaction due to internal fixation device of other site, initial encounter |
| T847XXA | Infection and inflammatory reaction due to other internal orthopedic prosthetic devices, implants and grafts, initial encounter |
| K6811 | Postprocedural retroperitoneal abscess |
| T814XXA | Infection following a procedure, initial encounter |
HAC 13: SURGICAL SITE INFECTION (SSI) FOLLOWING CARDIAC IMPLANTABLE ELECTRONIC DEVICE (CIED) PROCEDURES
PROCEDURES
| 02H43JZ | Insertion of Pacemaker Lead into Coronary Vein, Percutaneous Approach |
| 02H43KZ | Insertion of Defibrillator Lead into Coronary Vein, Percutaneous Approach |
| 02H43MZ | Insertion of Cardiac Lead into Coronary Vein, Percutaneous Approach |
| 02H63JZ | Insertion of Pacemaker Lead into Right Atrium, Percutaneous Approach |
| 02H63MZ | Insertion of Cardiac Lead into Right Atrium, Percutaneous Approach |
| 02H73JZ | Insertion of Pacemaker Lead into Left Atrium, Percutaneous Approach |
| 02H73MZ | Insertion of Cardiac Lead into Left Atrium, Percutaneous Approach |
| 02HK3JZ | Insertion of Pacemaker Lead into Right Ventricle, Percutaneous Approach |
| 02HL3JZ | Insertion of Pacemaker Lead into Left Ventricle, Percutaneous Approach |
| 02HN0JZ | Insertion of Pacemaker Lead into Pericardium, Open Approach |
| 02HN0MZ | Insertion of Cardiac Lead into Pericardium, Open Approach |
| 02HN3JZ | Insertion of Pacemaker Lead into Pericardium, Percutaneous Approach |
| 02HN3MZ | Insertion of Cardiac Lead into Pericardium, Percutaneous Approach |
| 02HN4JZ | Insertion of Pacemaker Lead into Pericardium, Percutaneous Endoscopic Approach |
| 02HN4MZ | Insertion of Cardiac Lead into Pericardium, Percutaneous Endoscopic Approach |
| 02PA0MZ | Removal of Cardiac Lead from Heart, Open Approach |
| 02PA3MZ | Removal of Cardiac Lead from Heart, Percutaneous Approach |
| 02PA4MZ | Removal of Cardiac Lead from Heart, Percutaneous Endoscopic Approach |
| 02PAXMZ | Removal of Cardiac Lead from Heart, External Approach |
| 02WA0MZ | Revision of Cardiac Lead in Heart, Open Approach |
| 02WA3MZ | Revision of Cardiac Lead in Heart, Percutaneous Approach |
| 02WA4MZ | Revision of Cardiac Lead in Heart, Percutaneous Endoscopic Approach |
| 0JH604Z | Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH605Z | Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH606Z | Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH607Z | Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH608Z | Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH609Z | Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH60PZ | Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Open Approach |
| 0JH634Z | Insertion of Pacemaker, Single Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH635Z | Insertion of Pacemaker, Single Chamber Rate Responsive into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH636Z | Insertion of Pacemaker, Dual Chamber into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH637Z | Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH638Z | Insertion of Defibrillator Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH639Z | Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH63PZ | Insertion of Cardiac Rhythm Related Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH804Z | Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH805Z | Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH806Z | Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH807Z | Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH808Z | Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH809Z | Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH80PZ | Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Open Approach |
| 0JH834Z | Insertion of Pacemaker, Single Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH835Z | Insertion of Pacemaker, Single Chamber Rate Responsive into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH836Z | Insertion of Pacemaker, Dual Chamber into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH837Z | Insertion of Cardiac Resynchronization Pacemaker Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH838Z | Insertion of Defibrillator Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH839Z | Insertion of Cardiac Resynchronization Defibrillator Pulse Generator into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JH83PZ | Insertion of Cardiac Rhythm Related Device into Abdomen Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JPT0PZ | Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Open Approach |
| 0JPT3PZ | Removal of Cardiac Rhythm Related Device from Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach |
| 0JWT0PZ | Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Open Approach |
| 0JWT3PZ | Revision of Cardiac Rhythm Related Device in Trunk Subcutaneous Tissue and Fascia, Percutaneous Approach |
AND
SECONDARY DIAGNOSIS
| K6811 | Postprocedural retroperitoneal abscess |
| T814XXA | Infection following a procedure, initial encounter |
| T826XXA | Infection and inflammatory reaction due to cardiac valve prosthesis, initial encounter |
| T827XXA | Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter |
HAC 14: IATROGENIC PNEUMOTHORAX W/ VENOUS CATHETERIZATION
PROCEDURES
| 05HM33Z | Insertion of Infusion Device into Right Internal Jugular Vein, Percutaneous Approach |
| 05HN33Z | Insertion of Infusion Device into Left Internal Jugular Vein, Percutaneous Approach |
| 05HP33Z | Insertion of Infusion Device into Right External Jugular Vein, Percutaneous Approach |
| 05HQ33Z | Insertion of Infusion Device into Left External Jugular Vein, Percutaneous Approach |
| 0JH63XZ | Insertion of Vascular Access Device into Chest Subcutaneous Tissue and Fascia, Percutaneous Approach |
AND
SECONDARY DIAGNOSIS
| J95811 | Postprocedural pneumothorax |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
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