AHRQ Quality Indicators™ (AHRQ QI™) ICD-9-CM and ICD-10 …
AHRQ Quality IndicatorsTM (AHRQ QITM) ICD-9-CM and ICD-10-CM/PCS
Specification Enhanced Version 5.0
Inpatient Quality Indicators #23 (IQI #23) Laparoscopic Cholecystectomy Rate
October 2015 Provider-Level Indicator
Type of Score: Rate
Prepared by: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville, MD 20850 qualityindicators.
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
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IQI #23 Laparoscopic Cholecystectomy Rate
Description
Laparoscopic cholecystectomy discharges per 1,000 cholecystectomy discharges for patients with cholecystitis and/or cholelithiasis ages 18 years and older. Excludes obstetric discharges.
[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 specific procedure discharges per 1,000 hospital discharges.]
October 2015
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
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IQI #23 Laparoscopic Cholecystectomy Rate
NUMERATOR
Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with any-listed ICD-9-CM or ICD-10-PCS procedure codes for laparoscopic cholecystectomy.
Laparoscopic cholecystectomy procedure code: (PRLAPOP)
ICD-9-CM Description
5123
LAPAROSCOPIC CHOLE
ICD-10-PCS Description 0FT44ZZ Resection of Gallbladder, Percutaneous Endoscopic
Approach
October 2015
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
IQI #23 Laparoscopic Cholecystectomy Rate
NUMERATOR EXCLUSIONS
Not Applicable
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October 2015
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
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IQI #23 Laparoscopic Cholecystectomy Rate
DENOMINATOR
Discharges, for patients ages 18 years and older, with any-listed ICD-9-CM or ICD-10-PCS procedure codes for cholecystectomy and any-
listed ICD-9-CM or ICD-10-CM diagnosis codes for uncomplicated cholecystitis and/or cholelithiasis.
Cholecystectomy procedure codes: (PRLAP2P)
ICD-9-CM Description
ICD-10-PCS Description
5122
CHOLECYSTECTOMY
0FT40ZZ Resection of Gallbladder, Open Approach
5123
LAPAROSCOPIC CHOLE
0FT44ZZ Resection of Gallbladder, Percutaneous Endoscopic
Approach
ICD-9-CM 57400 57401 57410 57411 57420 57421 5750
Uncomplicated cholecystitis and/or cholelithiasis diagnosis codes: (PRLAPOD)
Description CHOLELITH W AC CHOLECYST CHOLELITH/AC GB INF-OBST CHOLELITH W CHOLECYS NEC CHOLELITH/GB INF NEC-OBS CHOLELITHIASIS NOS CHOLELITHIAS NOS W OBSTR ACUTE CHOLECYSTITIS
ICD-10-CM Description
K8000
Calculus of gallbladder with acute cholecystitis
without obstruction
K8001
Calculus of gallbladder with acute cholecystitis with
obstruction
K8010
Calculus of gallbladder with chronic cholecystitis
without obstruction
K8011
Calculus of gallbladder with chronic cholecystitis
with obstruction
K8012
Calculus of gallbladder with acute and chronic
cholecystitis without obstruction
K8013
Calculus of gallbladder with acute and chronic
cholecystitis with obstruction
K8018
Calculus of gallbladder with other cholecystitis
without obstruction
October 2015
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
5751 57510 57511 57512
CHOLECYSTITIS NEC CHOLECYSTITIS NOS CHRON CHOLECYSTITIS AC/CHR CHOLECYSTITIS
K8019
K8020
K8021
K8080 K810 K811 K812 K819
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Calculus of gallbladder with other cholecystitis with obstruction Calculus of gallbladder without cholecystitis without obstruction Calculus of gallbladder without cholecystitis with obstruction Other cholelithiasis without obstruction Acute cholecystitis Chronic cholecystitis Acute cholecystitis with chronic cholecystitis Cholecystitis, unspecified
October 2015
AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #23 Laparoscopic Cholecystectomy Rate qualityindicators.
IQI #23 Laparoscopic Cholecystectomy Rate
DENOMINATOR EXCLUSIONS
Exclude cases: ? 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)
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October 2015
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