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 #28 (IQI #28) Hysterectomy Rate

October 2015 Area-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 #28 Hysterectomy Rate qualityindicators.

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IQI #28 Hysterectomy Rate

DESCRIPTION

Hysterectomy discharges per 100,000 female population, ages 18 and older. Excludes genital cancer discharges, pelvic or lowerabdominal trauma discharges, and obstetric discharges.

[NOTE: The software provides the rate per population. However, common practice reports the measure as per 100,000 population. The user must multiply the rate obtained from the software by 100,000 to report discharges per 100,000 population.]

October 2015

AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #28 Hysterectomy Rate qualityindicators.

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IQI #28 Hysterectomy Rate

NUMERATOR

Female discharges, for patients ages 18 years and older, with any-listed ICD-9-CM or ICD-10-PCS procedure codes for hysterectomy.

ICD-9-CM 683 6831 6839 684

6841

6849 685 6851 6859 686 6861 6869 687 6871 6879 689

Hysterectomy procedure codes: (PRHYSTP)

Description

ICD-10-PCS Description

SUBTOT ABD HYSTERECTOMY

0UT90ZZ Resection of Uterus, Open Approach

LAP SCERVIC HYSTERECTOMY

0UT94ZZ Resection of Uterus, Percutaneous Endoscopic Approach

OTH SUBTOT ABD HYSTERECT

0UT97ZZ Resection of Uterus, Via Natural or Artificial Opening

TOTAL ABD HYSTERECTOMY

LAP TOTAL ABDOMINAL HYST

TOTAL ABD HYST NEC/NOS VAGINAL HYSTERECTOMY

0UT98ZZ 0UT9FZZ

Resection of Uterus, Via Natural or Artificial Opening Endoscopic Resection of Uterus, Via Natural or Artificial Opening With Percutaneous Endoscopic Assistance

LAPAR ASSIST VAG HYS OTH VAG HYS RADICAL ABD HYSTERECTOMY LAP RADICAL ABDOMNL HYST

RADICAL ABD HYST NEC/NOS RADICAL VAG HYSTERECTOMY LAP RADICAL VAGINAL HYST RADICAL VAG HYST NEC/NOS HYSTERECTOMY NEC/NOS

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IQI #28 Hysterectomy Rate

NUMERATOR EXCLUSIONS

Exclude cases: ? with any-listed ICD-9-CM or ICD-10-CM diagnosis codes for female genital cancer ? with any-listed ICD-9-CM or ICD-10-CM diagnosis codes for pelvic or lower abdominal trauma ? 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)

ICD-9-CM 179 1800 1801 1808 1809 181 1820 1821 1828 1830

1832 1833 1834 1835 1838 1839 1840

Female genital cancer diagnosis codes: (PRHYS1D)

Description

ICD-10-CM Description

MALIG NEOPL UTERUS NOS

C510

Malignant neoplasm of labium majus

MALIG NEO ENDOCERVIX

C511

Malignant neoplasm of labium minus

MALIG NEO EXOCERVIX

C512

Malignant neoplasm of clitoris

MALIG NEO CERVIX NEC

C518

Malignant neoplasm of overlapping sites of vulva

MAL NEO CERVIX UTERI NOS

C519

Malignant neoplasm of vulva, unspecified

MALIGNANT NEOPL PLACENTA

C52

Malignant neoplasm of vagina

MALIG NEO CORPUS UTERI

C530

Malignant neoplasm of endocervix

MAL NEO UTERINE ISTHMUS

C531

Malignant neoplasm of exocervix

MAL NEO BODY UTERUS NEC

C538

Malignant neoplasm of overlapping sites of cervix uteri

MALIGN NEOPL OVARY

C539

Malignant neoplasm of cervix uteri, unspecified

MAL NEO FALLOPIAN TUBE

C540

Malignant neoplasm of isthmus uteri

MAL NEO BROAD LIGAMENT

C541

Malignant neoplasm of endometrium

MALIG NEO PARAMETRIUM

C542

Malignant neoplasm of myometrium

MAL NEO ROUND LIGAMENT

C543

Malignant neoplasm of fundus uteri

MAL NEO ADNEXA NEC

C548

Malignant neoplasm of overlapping sites of corpus uteri

MAL NEO ADNEXA NOS

C549

Malignant neoplasm of corpus uteri, unspecified

MALIGN NEOPL VAGINA

C55

Malignant neoplasm of uterus, part unspecified

October 2015

AHRQ QITM ICD-9-CM and ICD-10-CM/PCS Specification Enhanced Version 5.0 IQI #28 Hysterectomy Rate qualityindicators.

1841 1842 1843 1844 1848 1849 2331 2332 2333 23330 23331 23332 23339 2360 2361

2362

2363

MAL NEO LABIA MAJORA MAL NEO LABIA MINORA MALIGN NEOPL CLITORIS MALIGN NEOPL VULVA NOS MAL NEO FEMALE GENIT NEC MAL NEO FEMALE GENIT NOS CA IN SITU CERVIX UTERI CA IN SITU UTERUS NEC CA IN SITU FEM GEN NEC CA IN SITU FEM GEN NOS CARCINOMA IN SITU VAGINA CARCINOMA IN SITU VULVA CA IN SITU FEM GEN NEC UNCERT BEHAV NEO UTERUS UNC BEHAV NEO PLACENTA

UNC BEHAV NEO OVARY

UNC BEHAV NEO FEMALE NEC

C561 C562 C569 C5700 C5701 C5702 C5710 C5711 C5712 C5720 C5721 C5722 C573 C574 C577

C578

C579

C58 D060 D061 D067 D069 D070 D071 D072 D0730 D0739 D390 D3910

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Malignant neoplasm of right ovary Malignant neoplasm of left ovary Malignant neoplasm of unspecified ovary Malignant neoplasm of unspecified fallopian tube Malignant neoplasm of right fallopian tube Malignant neoplasm of left fallopian tube Malignant neoplasm of unspecified broad ligament Malignant neoplasm of right broad ligament Malignant neoplasm of left broad ligament Malignant neoplasm of unspecified round ligament Malignant neoplasm of right round ligament Malignant neoplasm of left round ligament Malignant neoplasm of parametrium Malignant neoplasm of uterine adnexa, unspecified Malignant neoplasm of other specified female genital organs Malignant neoplasm of overlapping sites of female genital organs Malignant neoplasm of female genital organ, unspecified

Malignant neoplasm of placenta Carcinoma in situ of endocervix Carcinoma in situ of exocervix Carcinoma in situ of other parts of cervix Carcinoma in situ of cervix, unspecified Carcinoma in situ of endometrium Carcinoma in situ of vulva Carcinoma in situ of vagina Carcinoma in situ of unspecified female genital organs Carcinoma in situ of other female genital organs Neoplasm of uncertain behavior of uterus Neoplasm of uncertain behavior of unspecified ovary

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D3911 D3912 D392 D398

D399

Neoplasm of uncertain behavior of right ovary Neoplasm of uncertain behavior of left ovary Neoplasm of uncertain behavior of placenta Neoplasm of uncertain behavior of other specified female genital organs Neoplasm of uncertain behavior of female genital organ, unspecified

ICD-9-CM 8674 8675 8676 8677

8678 8679 86800 86803

86804

Pelvic or lower abdominal trauma diagnosis codes: (PRHYS2D)

Description

ICD-10-CM Description

UTERUS INJURY-CLOSED

S31000S

Unspecified open wound of lower back and pelvis

without penetration into retroperitoneum, sequela

UTERUS INJURY-OPEN

S31001A

Unspecified open wound of lower back and pelvis with

penetration into retroperitoneum, initial encounter

PELVIC ORGAN INJ NEC-CL

S31001S

Unspecified open wound of lower back and pelvis with

PELVIC ORGAN INJ NEC-OPN

S31010A

penetration into retroperitoneum, sequela Laceration without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter

PELVIC ORGAN INJ NOS-CL

S31010S

Laceration without foreign body of lower back and pelvis

without penetration into retroperitoneum, sequela

PELVIC ORGAN INJ NOS-OPN

S31011A

Laceration without foreign body of lower back and pelvis

with penetration into retroperitoneum, initial encounter

INTRA-ABDOM INJ NOS-CLOS PERITONEUM INJURY-CLOSED

S31011S S31020A

Laceration without foreign body of lower back and pelvis with penetration into retroperitoneum, sequela Laceration with foreign body of lower back and pelvis

without penetration into retroperitoneum, initial

encounter

RETROPERITONEUM INJ-CL

S31020S

Laceration with foreign body of lower back and pelvis

without penetration into retroperitoneum, sequela

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86809 86810 86813

86814 86819

8690 8691

8796 8797

8798 8799 9060 9081

INTRA-ABDOM INJ NEC-CLOS INTRA-ABDOM INJ NOS-OPEN PERITONEUM INJURY-OPEN

RETROPERITONEUM INJ-OPEN INTRA-ABDOM INJ NEC-OPEN

INTERNAL INJ NOS-CLOSED INTERNAL INJURY NOS-OPEN

OPEN WOUND OF TRUNK NEC OPEN WND TRUNK NEC-COMPL

OPEN WOUND SITE NOS OPN WOUND SITE NOS-COMPL LT EFF OPN WND HEAD/TRNK LATE EFF INT INJ ABDOMEN

S31021A S31021S S31030A

S31030S S31031A

S31031S S31040A

S31040S S31041A

S31041S S31050A S31050S S31051A

Laceration with foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter Laceration with foreign body of lower back and pelvis with penetration into retroperitoneum, sequela Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter Puncture wound without foreign body of lower back and pelvis without penetration into retroperitoneum, sequela

Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter Puncture wound without foreign body of lower back and pelvis with penetration into retroperitoneum, sequela

Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, initial encounter Puncture wound with foreign body of lower back and pelvis without penetration into retroperitoneum, sequela

Puncture wound with foreign body of lower back and pelvis with penetration into retroperitoneum, initial encounter Puncture wound with foreign body of lower back and pelvis with penetration into retroperitoneum, sequela Open bite of lower back and pelvis without penetration into retroperitoneum, initial encounter Open bite of lower back and pelvis without penetration into retroperitoneum, sequela Open bite of lower back and pelvis with penetration into retroperitoneum, initial encounter

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9082 9391

9474

LATE EFF INT INJURY NEC FOREIGN BODY UTERUS

BURN OF VAGINA & UTERUS

S31051S S31600A

S31600S S31601A

S31601S S31602A

S31602S S31603A

S31603S S31604A

S31604S S31605A

Open bite of lower back and pelvis with penetration into retroperitoneum, sequela Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, initial encounter Unspecified open wound of abdominal wall, right upper quadrant with penetration into peritoneal cavity, sequela

Unspecified open wound of abdominal wall, left upper quadrant with penetration into peritoneal cavity, initial encounter Unspecified open wound of abdominal wall, left upper quadrant with penetration into peritoneal cavity, sequela

Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, initial encounter Unspecified open wound of abdominal wall, epigastric region with penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, initial encounter Unspecified open wound of abdominal wall, right lower quadrant with penetration into peritoneal cavity, sequela Unspecified open wound of abdominal wall, left lower quadrant with penetration into peritoneal cavity, initial encounter Unspecified open wound of abdominal wall, left lower quadrant with penetration into peritoneal cavity, sequela

Unspecified open wound of abdominal wall, periumbilic region with penetration into peritoneal cavity, initial encounter

October 2015

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