ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual

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Appendix I Hospital Acquired Conditions (HACS) List
Hospital acquired conditions
Page 11 of 14

HAC 08: SURGICAL SITE INFECTION-MEDIASTINITIS AFTER CORONARY BYPASS GRAFT (CABG) (continued)

PROCEDURES

021149WBypass Coronary Artery, Two Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach
02114A3Bypass Coronary Artery, Two Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114A8Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114A9Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114ACBypass Coronary Artery, Two Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114AFBypass Coronary Artery, Two Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114AWBypass Coronary Artery, Two Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02114J3Bypass Coronary Artery, Two Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02114J8Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02114J9Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02114JCBypass Coronary Artery, Two Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02114JFBypass Coronary Artery, Two Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02114JWBypass Coronary Artery, Two Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
02114K3Bypass Coronary Artery, Two Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114K8Bypass Coronary Artery, Two Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114K9Bypass Coronary Artery, Two Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114KCBypass Coronary Artery, Two Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114KFBypass Coronary Artery, Two Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114KWBypass Coronary Artery, Two Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02114Z3Bypass Coronary Artery, Two Arteries from Coronary Artery, Percutaneous Endoscopic Approach
02114Z8Bypass Coronary Artery, Two Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach
02114Z9Bypass Coronary Artery, Two Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach
02114ZCBypass Coronary Artery, Two Arteries from Thoracic Artery, Percutaneous Endoscopic Approach
02114ZFBypass Coronary Artery, Two Arteries from Abdominal Artery, Percutaneous Endoscopic Approach
0212083Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Open Approach
0212088Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach
0212089Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach
021208CBypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach
021208FBypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach
021208WBypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Open Approach
0212093Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach
0212098Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach
0212099Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach
021209CBypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach
021209FBypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach
021209WBypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Open Approach
02120A3Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach
02120A8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach
02120A9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach
02120ACBypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach
02120AFBypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach
02120AWBypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Open Approach
02120J3Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Open Approach
02120J8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach
02120J9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach
02120JCBypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Open Approach
02120JFBypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Open Approach
02120JWBypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Open Approach
02120K3Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach
02120K8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02120K9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02120KCBypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach
02120KFBypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach
02120KWBypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach
02120Z3Bypass Coronary Artery, Three Arteries from Coronary Artery, Open Approach
02120Z8Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Open Approach
02120Z9Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Open Approach
02120ZCBypass Coronary Artery, Three Arteries from Thoracic Artery, Open Approach
02120ZFBypass Coronary Artery, Three Arteries from Abdominal Artery, Open Approach
0212483Bypass Coronary Artery, Three Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
0212488Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
0212489Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
021248CBypass Coronary Artery, Three Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021248FBypass Coronary Artery, Three Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021248WBypass Coronary Artery, Three Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach
0212493Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0212498Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0212499Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021249CBypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021249FBypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021249WBypass Coronary Artery, Three Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach
02124A3Bypass Coronary Artery, Three Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124A8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124A9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124ACBypass Coronary Artery, Three Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124AFBypass Coronary Artery, Three Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124AWBypass Coronary Artery, Three Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02124J3Bypass Coronary Artery, Three Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02124J8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02124J9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02124JCBypass Coronary Artery, Three Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02124JFBypass Coronary Artery, Three Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02124JWBypass Coronary Artery, Three Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
02124K3Bypass Coronary Artery, Three Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124K8Bypass Coronary Artery, Three Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124K9Bypass Coronary Artery, Three Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124KCBypass Coronary Artery, Three Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124KFBypass Coronary Artery, Three Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124KWBypass Coronary Artery, Three Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02124Z3Bypass Coronary Artery, Three Arteries from Coronary Artery, Percutaneous Endoscopic Approach
02124Z8Bypass Coronary Artery, Three Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach
02124Z9Bypass Coronary Artery, Three Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach
02124ZCBypass Coronary Artery, Three Arteries from Thoracic Artery, Percutaneous Endoscopic Approach
02124ZFBypass Coronary Artery, Three Arteries from Abdominal Artery, Percutaneous Endoscopic Approach
0213083Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Open Approach
0213088Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Open Approach
0213089Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Open Approach
021308CBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Open Approach
021308FBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Open Approach
021308WBypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Open Approach
0213093Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Open Approach
0213098Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Open Approach
0213099Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Open Approach
021309CBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Open Approach
021309FBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Open Approach
021309WBypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Open Approach
02130A3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Open Approach
02130A8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Open Approach
02130A9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Open Approach
02130ACBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Open Approach
02130AFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Open Approach
02130AWBypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Open Approach
02130J3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Open Approach
02130J8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Open Approach
02130J9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Open Approach
02130JCBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Open Approach
02130JFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Open Approach
02130JWBypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Open Approach
02130K3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Open Approach
02130K8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02130K9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Open Approach
02130KCBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Open Approach
02130KFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Open Approach
02130KWBypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Open Approach
02130Z3Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Open Approach
02130Z8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Open Approach
02130Z9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Open Approach
02130ZCBypass Coronary Artery, Four or More Arteries from Thoracic Artery, Open Approach
02130ZFBypass Coronary Artery, Four or More Arteries from Abdominal Artery, Open Approach
0213483Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
0213488Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
0213489Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Zooplastic Tissue, Percutaneous Endoscopic Approach
021348CBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021348FBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach
021348WBypass Coronary Artery, Four or More Arteries from Aorta with Zooplastic Tissue, Percutaneous Endoscopic Approach
0213493Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0213498Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0213499Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021349CBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021349FBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
021349WBypass Coronary Artery, Four or More Arteries from Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach
02134A3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134A8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134A9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134ACBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134AFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134AWBypass Coronary Artery, Four or More Arteries from Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
02134J3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02134J8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02134J9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Synthetic Substitute, Percutaneous Endoscopic Approach
02134JCBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02134JFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
02134JWBypass Coronary Artery, Four or More Arteries from Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
02134K3Bypass Coronary Artery, Four or More Arteries from Coronary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134K8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134K9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134KCBypass Coronary Artery, Four or More Arteries from Thoracic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134KFBypass Coronary Artery, Four or More Arteries from Abdominal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134KWBypass Coronary Artery, Four or More Arteries from Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
02134Z3Bypass Coronary Artery, Four or More Arteries from Coronary Artery, Percutaneous Endoscopic Approach
02134Z8Bypass Coronary Artery, Four or More Arteries from Right Internal Mammary, Percutaneous Endoscopic Approach
02134Z9Bypass Coronary Artery, Four or More Arteries from Left Internal Mammary, Percutaneous Endoscopic Approach
02134ZCBypass Coronary Artery, Four or More Arteries from Thoracic Artery, Percutaneous Endoscopic Approach
02134ZFBypass Coronary Artery, Four or More Arteries from Abdominal Artery, Percutaneous Endoscopic Approach

AND

SECONDARY DIAGNOSIS

J9851Mediastinitis
J9859Other diseases of mediastinum, not elsewhere classified

HAC 09: MANIFESTATIONS OF POOR GLYCEMIC CONTROL

SECONDARY DIAGNOSIS

E0800Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E0801Diabetes mellitus due to underlying condition with hyperosmolarity with coma
E0810Diabetes mellitus due to underlying condition with ketoacidosis without coma
E0811Diabetes mellitus due to underlying condition with ketoacidosis with coma
E0900Drug or chemical induced diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E0901Drug or chemical induced diabetes mellitus with hyperosmolarity with coma
E0910Drug or chemical induced diabetes mellitus with ketoacidosis without coma
E0911Drug or chemical induced diabetes mellitus with ketoacidosis with coma
E1010Type 1 diabetes mellitus with ketoacidosis without coma
E1011Type 1 diabetes mellitus with ketoacidosis with coma
E1100Type 2 diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E1101Type 2 diabetes mellitus with hyperosmolarity with coma
E1110Type 2 diabetes mellitus with ketoacidosis without coma
E1111Type 2 diabetes mellitus with ketoacidosis with coma
E1300Other specified diabetes mellitus with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)
E1301Other specified diabetes mellitus with hyperosmolarity with coma
E1310Other specified diabetes mellitus with ketoacidosis without coma
E1311Other specified diabetes mellitus with ketoacidosis with coma
E15Nondiabetic hypoglycemic coma

HAC 10: DEEP VEIN THROMBOSIS (DVT) / PULMONARY EMBOLISM (PE) WITH TOTAL KNEE OR HIP REPLACEMENT

PROCEDURES

0SR9019Replacement of Right Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SR901AReplacement of Right Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SR901ZReplacement of Right Hip Joint with Metal Synthetic Substitute, Open Approach
0SR9029Replacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR902AReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR902ZReplacement of Right Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SR9039Replacement of Right Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SR903AReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SR903ZReplacement of Right Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SR9049Replacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR904AReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR904ZReplacement of Right Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SR9069Replacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SR906AReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SR906ZReplacement of Right Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SR907ZReplacement of Right Hip Joint with Autologous Tissue Substitute, Open Approach
0SR90EZReplacement of Right Hip Joint with Articulating Spacer, Open Approach
0SR90J9Replacement of Right Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SR90JAReplacement of Right Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SR90JZReplacement of Right Hip Joint with Synthetic Substitute, Open Approach
0SR90KZReplacement of Right Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRA009Replacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRA00AReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRA00ZReplacement of Right Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRA019Replacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRA01AReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRA01ZReplacement of Right Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRA039Replacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRA03AReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRA03ZReplacement of Right Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRA07ZReplacement of Right Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRA0J9Replacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRA0JAReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRA0JZReplacement of Right Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRA0KZReplacement of Right Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRB019Replacement of Left Hip Joint with Metal Synthetic Substitute, Cemented, Open Approach
0SRB01AReplacement of Left Hip Joint with Metal Synthetic Substitute, Uncemented, Open Approach
0SRB01ZReplacement of Left Hip Joint with Metal Synthetic Substitute, Open Approach
0SRB029Replacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB02AReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB02ZReplacement of Left Hip Joint with Metal on Polyethylene Synthetic Substitute, Open Approach
0SRB039Replacement of Left Hip Joint with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRB03AReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRB03ZReplacement of Left Hip Joint with Ceramic Synthetic Substitute, Open Approach
0SRB049Replacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB04AReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB04ZReplacement of Left Hip Joint with Ceramic on Polyethylene Synthetic Substitute, Open Approach
0SRB069Replacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRB06AReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRB06ZReplacement of Left Hip Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRB07ZReplacement of Left Hip Joint with Autologous Tissue Substitute, Open Approach
0SRB0EZReplacement of Left Hip Joint with Articulating Spacer, Open Approach
0SRB0J9Replacement of Left Hip Joint with Synthetic Substitute, Cemented, Open Approach
0SRB0JAReplacement of Left Hip Joint with Synthetic Substitute, Uncemented, Open Approach
0SRB0JZReplacement of Left Hip Joint with Synthetic Substitute, Open Approach
0SRB0KZReplacement of Left Hip Joint with Nonautologous Tissue Substitute, Open Approach
0SRC069Replacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRC06AReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRC06ZReplacement of Right Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRC07ZReplacement of Right Knee Joint with Autologous Tissue Substitute, Open Approach
0SRC0EZReplacement of Right Knee Joint with Articulating Spacer, Open Approach
0SRC0J9Replacement of Right Knee Joint with Synthetic Substitute, Cemented, Open Approach
0SRC0JAReplacement of Right Knee Joint with Synthetic Substitute, Uncemented, Open Approach
0SRC0JZReplacement of Right Knee Joint with Synthetic Substitute, Open Approach
0SRC0KZReplacement of Right Knee Joint with Nonautologous Tissue Substitute, Open Approach
0SRC0L9Replacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRC0LAReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRC0LZReplacement of Right Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
0SRC0M9Replacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRC0MAReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRC0MZReplacement of Right Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
0SRC0N9Replacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRC0NAReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRC0NZReplacement of Right Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRD069Replacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRD06AReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRD06ZReplacement of Left Knee Joint with Oxidized Zirconium on Polyethylene Synthetic Substitute, Open Approach
0SRD07ZReplacement of Left Knee Joint with Autologous Tissue Substitute, Open Approach
0SRD0EZReplacement of Left Knee Joint with Articulating Spacer, Open Approach
0SRD0J9Replacement of Left Knee Joint with Synthetic Substitute, Cemented, Open Approach
0SRD0JAReplacement of Left Knee Joint with Synthetic Substitute, Uncemented, Open Approach
0SRD0JZReplacement of Left Knee Joint with Synthetic Substitute, Open Approach
0SRD0KZReplacement of Left Knee Joint with Nonautologous Tissue Substitute, Open Approach
0SRD0L9Replacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRD0LAReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRD0LZReplacement of Left Knee Joint with Medial Unicondylar Synthetic Substitute, Open Approach
0SRD0M9Replacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Cemented, Open Approach
0SRD0MAReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Uncemented, Open Approach
0SRD0MZReplacement of Left Knee Joint with Lateral Unicondylar Synthetic Substitute, Open Approach
0SRD0N9Replacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Cemented, Open Approach
0SRD0NAReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Uncemented, Open Approach
0SRD0NZReplacement of Left Knee Joint with Patellofemoral Synthetic Substitute, Open Approach
0SRE009Replacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Cemented, Open Approach
0SRE00AReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Uncemented, Open Approach
0SRE00ZReplacement of Left Hip Joint, Acetabular Surface with Polyethylene Synthetic Substitute, Open Approach
0SRE019Replacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRE01AReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRE01ZReplacement of Left Hip Joint, Acetabular Surface with Metal Synthetic Substitute, Open Approach
0SRE039Replacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRE03AReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRE03ZReplacement of Left Hip Joint, Acetabular Surface with Ceramic Synthetic Substitute, Open Approach
0SRE07ZReplacement of Left Hip Joint, Acetabular Surface with Autologous Tissue Substitute, Open Approach
0SRE0J9Replacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Cemented, Open Approach
0SRE0JAReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Uncemented, Open Approach
0SRE0JZReplacement of Left Hip Joint, Acetabular Surface with Synthetic Substitute, Open Approach
0SRE0KZReplacement of Left Hip Joint, Acetabular Surface with Nonautologous Tissue Substitute, Open Approach
0SRR019Replacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRR01AReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRR01ZReplacement of Right Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRR039Replacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRR03AReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRR03ZReplacement of Right Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRR07ZReplacement of Right Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRR0J9Replacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRR0JAReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRR0JZReplacement of Right Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRR0KZReplacement of Right Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRS019Replacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Cemented, Open Approach
0SRS01AReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Uncemented, Open Approach
0SRS01ZReplacement of Left Hip Joint, Femoral Surface with Metal Synthetic Substitute, Open Approach
0SRS039Replacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Cemented, Open Approach
0SRS03AReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Uncemented, Open Approach
0SRS03ZReplacement of Left Hip Joint, Femoral Surface with Ceramic Synthetic Substitute, Open Approach
0SRS07ZReplacement of Left Hip Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRS0J9Replacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRS0JAReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRS0JZReplacement of Left Hip Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRS0KZReplacement of Left Hip Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRT07ZReplacement of Right Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRT0J9Replacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRT0JAReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRT0JZReplacement of Right Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRT0KZReplacement of Right Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRU07ZReplacement of Left Knee Joint, Femoral Surface with Autologous Tissue Substitute, Open Approach
0SRU0J9Replacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Cemented, Open Approach
0SRU0JAReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Uncemented, Open Approach
0SRU0JZReplacement of Left Knee Joint, Femoral Surface with Synthetic Substitute, Open Approach
0SRU0KZReplacement of Left Knee Joint, Femoral Surface with Nonautologous Tissue Substitute, Open Approach
0SRV07ZReplacement of Right Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
0SRV0J9Replacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
0SRV0JAReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
0SRV0JZReplacement of Right Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SRV0KZReplacement of Right Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
0SRW07ZReplacement of Left Knee Joint, Tibial Surface with Autologous Tissue Substitute, Open Approach
0SRW0J9Replacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Cemented, Open Approach
0SRW0JAReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Uncemented, Open Approach
0SRW0JZReplacement of Left Knee Joint, Tibial Surface with Synthetic Substitute, Open Approach
0SRW0KZReplacement of Left Knee Joint, Tibial Surface with Nonautologous Tissue Substitute, Open Approach
0SU90BZSupplement Right Hip Joint with Resurfacing Device, Open Approach
0SUA0BZSupplement Right Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUB0BZSupplement Left Hip Joint with Resurfacing Device, Open Approach
0SUE0BZSupplement Left Hip Joint, Acetabular Surface with Resurfacing Device, Open Approach
0SUR0BZSupplement Right Hip Joint, Femoral Surface with Resurfacing Device, Open Approach
0SUS0BZSupplement Left Hip Joint, Femoral Surface with Resurfacing Device, Open Approach

AND

SECONDARY DIAGNOSIS

I2602Saddle embolus of pulmonary artery with acute cor pulmonale
I2609Other pulmonary embolism with acute cor pulmonale
I2692Saddle embolus of pulmonary artery without acute cor pulmonale
I2693Single subsegmental pulmonary embolism without acute cor pulmonale
I2694Multiple subsegmental pulmonary emboli without acute cor pulmonale
I2699Other pulmonary embolism without acute cor pulmonale
I82401Acute embolism and thrombosis of unspecified deep veins of right lower extremity
I82402Acute embolism and thrombosis of unspecified deep veins of left lower extremity
I82403Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral
I82409Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82411Acute embolism and thrombosis of right femoral vein
I82412Acute embolism and thrombosis of left femoral vein
I82413Acute embolism and thrombosis of femoral vein, bilateral
I82419Acute embolism and thrombosis of unspecified femoral vein
I82421Acute embolism and thrombosis of right iliac vein
I82422Acute embolism and thrombosis of left iliac vein
I82423Acute embolism and thrombosis of iliac vein, bilateral
I82429Acute embolism and thrombosis of unspecified iliac vein
I82431Acute embolism and thrombosis of right popliteal vein
I82432Acute embolism and thrombosis of left popliteal vein
I82433Acute embolism and thrombosis of popliteal vein, bilateral
I82439Acute embolism and thrombosis of unspecified popliteal vein
I82441Acute embolism and thrombosis of right tibial vein
I82442Acute embolism and thrombosis of left tibial vein
I82443Acute embolism and thrombosis of tibial vein, bilateral
I82449Acute embolism and thrombosis of unspecified tibial vein
I82451Acute embolism and thrombosis of right peroneal vein
I82452Acute embolism and thrombosis of left peroneal vein
I82453Acute embolism and thrombosis of peroneal vein, bilateral
I82459Acute embolism and thrombosis of unspecified peroneal vein
I82491Acute embolism and thrombosis of other specified deep vein of right lower extremity
I82492Acute embolism and thrombosis of other specified deep vein of left lower extremity
I82493Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral
I82499Acute embolism and thrombosis of other specified deep vein of unspecified lower extremity
I824Y1Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity
I824Y2Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity
I824Y3Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
I824Y9Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity
I824Z1Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity
I824Z2Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity
I824Z3Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I824Z9Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity

HAC 11: SURGICAL SITE INFECTION - BARIATRIC SURGERY

PROCEDURES

0D16079Bypass Stomach to Duodenum with Autologous Tissue Substitute, Open Approach
0D1607ABypass Stomach to Jejunum with Autologous Tissue Substitute, Open Approach
0D1607BBypass Stomach to Ileum with Autologous Tissue Substitute, Open Approach
0D1607LBypass Stomach to Transverse Colon with Autologous Tissue Substitute, Open Approach
0D160J9Bypass Stomach to Duodenum with Synthetic Substitute, Open Approach
0D160JABypass Stomach to Jejunum with Synthetic Substitute, Open Approach
0D160JBBypass Stomach to Ileum with Synthetic Substitute, Open Approach
0D160JLBypass Stomach to Transverse Colon with Synthetic Substitute, Open Approach
0D160K9Bypass Stomach to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D160KABypass Stomach to Jejunum with Nonautologous Tissue Substitute, Open Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 16:20:17
CMS, code-revision=332, description-revision=1327