Appendix A:
Patient Safety Indicators #17 (PSI #17)
Birth Trauma Rate – Injury to Neonate
Description
Birth trauma injuries per 1,000 newborns. Excludes preterm infants with a birth weight
less than 2,000 grams, cases with injury to brachial plexus, and cases with osteogenesis
imperfecta.
Numerator
Discharges, among cases meeting the inclusion and exclusion rules for the denominator,
with any-listed ICD-9-CM diagnosis codes for birth trauma.
Denominator
All newborns.
Exclude cases:
•
•
•
•
with any-listed ICD-9-CM diagnosis codes for preterm infant with a birth weight
less than 2,000 grams
with any-listed ICD-9-CM diagnosis codes for injury to brachial plexus
with any-listed ICD-9-CM diagnosis codes for osteogenesis imperfecta
with missing gender (SEX=missing), age (AGE=missing), quarter
(DQTR=missing), year (YEAR=missing), or principal diagnosis (DX1=missing)
Source: http://qualityindicators.ahrq.gov/downloads/
Appendix B:
ICD-9 Code 767 (Birth trauma)
767.0 Subdural and cerebral hemorrhage
Subdural and cerebral hemorrhage, whether described as due to birth
trauma or to intrapartum anoxia or hypoxia
Subdural hematoma (localized)
Tentorial tear
Use additional code to identify cause
Excludes:
intraventricular hemorrhage (772.10-772.14)
subarachnoid hemorrhage (772.2)
767.1 Injuries to scalp
767.11 Epicranial subaponeurotic hemorrhage (massive)
Subgaleal hemorrhage
767.19 Other injuries to scalp
Caput succedaneum
Cephalhematoma
Chignon (from vacuum extraction)
767.2 Fracture of clavicle
767.3 Other injuries to skeleton
Fracture of:
long bones
skull
Excludes:
congenital dislocation of hip (754.30-754.35)
fracture of spine, congenital (767.4)
767.4 Injury to spine and spinal cord
Dislocation of spine or spinal cord due to birth trauma
Fracture of spine or spinal cord due to birth trauma
Laceration of spine or spinal cord due to birth trauma
Rupture of spine or spinal cord due to birth trauma
767.5 Facial nerve injury
Facial palsy
767.6 Injury to brachial plexus
Palsy or paralysis:
brachial
Erb (-Duchenne)
Klumpke (-Déjérine)
767.7 Other cranial and peripheral nerve injuries Phrenic nerve paralysis
767.8 Other specified birth trauma
Eye damage
Hematoma of:
liver (subcapsular)
testes
vulva
Rupture of:
liver
spleen
Scalpel wound
Traumatic glaucoma
Excludes:
hemorrhage classifiable to 772.0-772.9
767.9 Birth trauma, unspecified Birth injury NOS
Source: ICD-9 Manual