eTable 2. Surgical Revisit – Operation Specific – Hysterectomy
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Appendix B: Codes for Related Revisits Following Hysterectomy Supplied by AHRQ Melinda M Gibbons MD, MSHS, Pamela L Owens Phd, Marguerite L. Barrett MS, Susan Raetzman MSPH, Gregory D. Sacks MD, MPH, Claudia A. Steiner MD, MPH, “Reasons for Return to Acute Care Following Ambulatory Surgery”, (draft, 2014) Table of Contents eTable 1. Surgical Procedure 6: Hysterectomy, Laparoscopic Abdominal and Vaginal .............. 2 eTable 2. Surgical Revisit – Operation Specific – Hysterectomy, Laparoscopic Abdominal and Vaginal ....................................................................................................................................... 5 eTable 3. Surgical – Bleeding .................................................................................................... 7 eTable 4. Surgical Revisit – Wound ........................................................................................... 8 eTable 5. Surgical Revisit – Surgical Other ................................................................................ 9 eTable 6. Medical Revisit – PE/DVT .........................................................................................10 eTable 7. Medical Revisit – Cardiac ..........................................................................................11 eTable 8. Medical Revisit – Neurologic .....................................................................................13 eTable 9. Medical Revisit – Respiratory ....................................................................................14 eTable 10. Medical Revisit – Infection Other .............................................................................16 eTable 11. Medical Revisit – Urological.....................................................................................17 eTable 12. Medical Revisit – Gastrointestinal, Other .................................................................18 eTable 13. Medical Revisit – Abdominal Pain ...........................................................................20 eTable 14. Medical Revisit – Volume Disturbance ....................................................................21 eTable 15. Directly Related Surgical Site Infections Specific to Hysterectomy or Any Surgery ..22 eTable 1. Surgical Procedure 6: Hysterectomy, Laparoscopic Abdominal and Vaginal ICD-9-CM Procedure Codes for Hysterectomy 68.31 Laparoscopic supracervical hysterectomy 68.41 Laparoscopic total abdominal hysterectomy 68.61 Laparoscopic radical abdominal hysterectomy 685 Vaginal hysterectomy 685.1 Laparoscopically assisted vaginal hysterectomy 685.9 Other and unspecified vaginal hysterectomy 687 Radical vaginal hysterectomy 687.1 Laparoscopic radical vaginal hysterectomy 687.9 Other and unspecified radical vaginal hysterectomy CPT Codes for Hysterectomy 58541 Laparoscopy, surgical, supracervical hysterectomy, for uterus 250g or less 58543 Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g Laproscopy, surgical, with total hysterectomy, for uterus 250 g or less (new code as of 58570 2008) Laproscopy, surgical, with total hysterectomy, for uterus 250 g or less with tube and/or 58571 ovary removal (new code as of 2008) 58572 Laproscopy, surgical, with total hysterectomy, for uterus > 250 g (new code as of 2008) Laproscopy, surgical, with total hysterectomy, for uterus >250 g with tube and/or ovary 58573 removal (new code as of 2008) 58260 Vaginal hysterectomy, for uterus 250 g or less 58262 Code 58260 with removal of tubes and/or ovaries 58263 Code 58262 with repair of enterocele 58267 Code 58260 with colpo-urethrocystopexy 58270 Code 58260 with repair of enterocele 58275 Vaginal hysterectomy, with total or partial vaginectomy 58280 Code 58275 with repair of enterocele 58285 Vaginal hysterectomy, radical 58290 Vaginal hysterectomy, for uterus greater than 250 g 58291 Code 58290 with removal of tubes and/or ovaries 58292 Code 58291 with repair of enterocele 58293 Code 58290 with colpo-urethrocystopexy 58294 Code 58290 with repair of enterocele 58550 Laparoscopy, surgical, with vaginal hysterectomy for uterus 250 g or less 58552 Code 58550 with removal of tubes and/or ovaries 58553 Laparoscopy, surgical, with vaginal hysterectomy for uterus greater than 250g 58554 Code 58553 with removal of tubes and/or ovaries ICD-9-CM codes for female genital cancer diagnosis codes (EXCLUSIONS) Malignant neoplasm of uterus, part unspecified 179. Malignant neoplasm of endocervix 180.0 Malignant neoplasm of exocervix 180.1 2 Malignant neoplasm of other specified sites of cervix 180.8 Malignant neoplasm of cervix uteri, unspecified site 180.9 Malignant neoplasm of placenta 181. Malignant neoplasm of corpus uteri, except isthmus 182.0 Malignant neoplasm of isthmus 182.1 Malignant neoplasm of other specified sites of body of uterus 182.8 Malignant neoplasm of ovary 183.0 Malignant neoplasm of fallopian tube 183.2 Malignant neoplasm of broad ligament of uterus 183.3 Malignant neoplasm of parametrium 183.4 Malignant neoplasm of round ligament of uterus 183.5 Malignant neoplasm of other specified sites of uterine adnexa 183.8 Malignant neoplasm of uterine adnexa, unspecified site 183.9 Malignant neoplasm of vagina 184.0 Malignant neoplasm of labia majora 184.1 Malignant neoplasm of labia minora 184.2 Malignant neoplasm of clitoris 184.3 Malignant neoplasm of vulva, unspecified site 184.4 Malignant neoplasm of other specified sites of female genital organs 184.8 Malignant neoplasm of female genital organ, site unspecified 184.9 Carcinoma in situ of cervix uteri 233.1 Carcinoma in situ of other and unspecified parts of uterus 233.2 233.3 Carcinoma in situ, unspecified female genital, not elsewhere classified 233.30 Carcinoma in situ, unspecified female genital organ 233.31 Carcinoma in situ, vagina 233.32 Carcinoma in situ, vulva 233.39 Carcinoma in situ, other female genital organ Neoplasm of uncertain behavior of uterus 236.0 Neoplasm of uncertain behavior of placenta 236.1 Neoplasm of uncertain behavior of ovary 236.2 Neoplasm of uncertain behavior of other and unspecified female genital organs 236.3 ICD-9-CM codes for pelvic or lower abdominal trauma diagnosis codes (EXCLUSIONS) Injury to uterus, without mention of open wound into cavity 867.4 Injury to uterus, with open wound into cavity 867.5 Injury to other specified pelvic organs, without mention of open wound into cavity 867.6 Injury to other specified pelvic organs, with open wound into cavity 867.7 Injury to unspecified pelvic organ, without mention of open wound into cavity 867.8 Injury to unspecified pelvic organ, with open wound into cavity 867.9 Injury to other intra-abdominal organs without mention of open wound into cavity, 868.00 unspecified intra-abdominal organ 3 868.03 868.04 868.09 868.10 868.13 868.14 868.19 869.0 869.1 879.6 879.7 879.8 879.9 906.0 908.1 908.2 939.1 947.4 Injury to other intra-abdominal organs without mention of open wound into cavity, peritoneum Injury to other intra-abdominal organs without mention of open wound into cavity, retroperitoneum Injury to other and multiple intra-abdominal organs without mention of open wound into cavity Injury to other intra-abdominal organs with open wound into cavity, unspecified intraabdominal organ Injury to other intra-abdominal organs with open wound into cavity, peritoneum Injury to other intra-abdominal organs with open wound into cavity, retroperitoneum Injury to other and multiple intra-abdominal organs, with open wound into cavity Internal injury to unspecified or ill-defined organs without mention of open wound into cavity Internal injury to unspecified or ill-defined organs with open wound into cavity Open wound of other and unspecified parts of trunk, without mention of complication Open wound of other and unspecified parts of trunk, complicated Open wound(s) (multiple) of unspecified site(s), without mention of complication Open wound(s) (multiple) of unspecified site(s), complicated Late effect of open wound of head, neck, and trunk Late effect of internal injury to intra-abdominal organs Late effect of internal injury to other internal organs Foreign body in uterus, any part Burn of vagina and uterus 4 eTable 2. Surgical Revisit – Operation Specific – Hysterectomy, Laparoscopic Abdominal and Vaginal ICD-9-CM Diagnosis Codes Pelvic 614.2 Salpingitis and oophoritis not specified as acute, subacute, or chronic 614.5 Acute or unspecified pelvic peritonitis, female 614.6 Pelvic peritoneal adhesions, female (postoperative) (postinfection) 614.9 Unspecified inflammatory disease of female pelvic organs and tissues 616.0 Cervicitis and endocervicitis 616.10 Vaginitis and vulvovaginitis, unspecified 618.2 Uterovaginal prolapse, incomplete 618.4 Uterovaginal prolapse, unspecified 625.6 Stress incontinence, female Urinary, Catheter, Ureter 591. Hydronephrosis 593.3 Stricture or kinking of ureter 593.4 Other ureteric obstruction 596.6 Rupture of bladder, nontraumatic 596.7 Hemorrhage into bladder wall 596.8 Hemorrhage into bladder wall 596.89 Other specified disorders of bladder 596.9 Unspecified disorder of bladder 597.80 Urethritis, unspecified 597.89 Other urethritis 598.9 Urethral stricture, unspecified 599.60 Urinary obstruction, unspecified 599.69 Urinary obstruction, not elsewhere classified 599.70 Hematuria, unspecified 599.71 Gross hematuria 788.20 Retention of urine, unspecified 788.21 Incomplete bladder emptying 788.29 Other specified retention of urine 788.30 Urinary incontinence, unspecified 788.31 Urge incontinence 788.33 Mixed incontinence (male) (female) 788.37 Continuous leakage 788.41 Urinary frequency 788.63 Urgency of urination 788.64 Urinary hesitancy 788.69 Other abnormality of urination 5 788.99 Other symptoms involving urinary system 867.0 Injury to bladder and urethra, without mention of open wound into cavity 867.1 Injury to bladder and urethra, with open wound into cavity 867.2 Injury to ureter, without mention of open wound into cavity 996.31 Mechanical complication due to urethral (indwelling) catheter 996.39 Other mechanical complication of genitourinary device, implant, and graft 996.64 Infection and inflammatory reaction due to indwelling urinary catheter 996.65 Infection and inflammatory reaction due to other genitourinary device, implant, and graft 996.76 Other complications due to genitourinary device, implant, and graft Genital Fistula 596.1 Intestinovesical fistula 596.2 Vesical fistula, not elsewhere classified 619.0 Urinary-genital tract fistula, female 619.1 Digestive-genital tract fistula, female 623.6 Vaginal hematoma 623.8 Other specified noninflammatory disorders of vagina 623.9 Unspecified noninflammatory disorder of vagina 625.8 Other specified symptoms associated with female genital organs 625.9 Unspecified symptom associated with female genital organs 629.89 Other specified disorders of female genital organs 878.6 Open wound of vagina, without mention of complication 878.7 Open wound of vagina, complicated Hernia 552.1 Umbilical hernia with obstruction 552.20 Ventral, unspecified, hernia with obstruction 552.21 Incisional ventral hernia with obstruction 552.29 Other ventral hernia with obstruction 552.8 Hernia of other specified sites, with obstruction 552.9 Hernia of unspecified site, with obstruction 553.1 Umbilical hernia without mention of obstruction or gangrene 553.20 Ventral, unspecified, hernia without mention of obstruction or gangrene 553.21 Incisional hernia without mention of obstruction or gangrene 553.29 Other ventral hernia without mention of obstruction or gangrene 553.8 Hernia of other specified sites without mention of obstruction or gangrene 553.9 Hernia of unspecified site without mention of obstruction or gangrene 6 eTable 3. Surgical – Bleeding ICD-9-CM Diagnosis Codes 285.1 Acute posthemorrhagic anemia 287.9 Unspecified hemorrhagic conditions 459.0 Hemorrhage, unspecified 719.16 Hemarthrosis, lower leg 998.11 Hemorrhage complicating a procedure 998.12 Hematoma complicating a procedure 7 eTable 4. Surgical Revisit – Wound ICD-9-CM Diagnosis Codes 879.2 Open wound of abdominal wall, anterior, without mention of complication 879.3 Open wound of abdominal wall, anterior, complicated 879.8 Open wound(s) (multiple) of unspecified site(s), without mention of complication 998.13 Seroma complicating a procedure 998.30 Disruption of wound, unspecified 998.31 Disruption of internal operation (surgical) wound 998.32 Disruption of external operation (surgical) wound 998.83 Non-healing surgical wound 8 eTable 5. Surgical Revisit – Surgical Other ICD-9-CM Diagnosis Codes 997.4 Other respiratory complications 997.49 Other digestive system complications 997.99 Complications affecting other specified body systems, not elsewhere classified 998.0 Complications affecting other specified body systems, not elsewhere classified 998.00 Postoperative shock, unspecified 998.2 Accidental puncture or laceration during a procedure, not elsewhere classified 998.4 Foreign body accidentally left during a procedure 998.6 Persistent postoperative fistula 998.81 Emphysema (subcutaneous) (surgical) resulting from procedure 998.89 Other specified complications of procedures not elsewhere classified 998.9 Unspecified complication of procedure, not elsewhere classified 9 eTable 6. Medical Revisit – PE/DVT ICD-9-CM Diagnosis Codes 415.11 Iatrogenic pulmonary embolism and infarction 415.12 Septic pulmonary embolism 415.13 Saddle embolus of pulmonary artery 415.19 Other pulmonary embolism and infarction 452. Portal vein thrombosis 453.40 Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity 453.41 Acute venous embolism and thrombosis of deep vessels of proximal lower extremity 453.42 Acute venous embolism and thrombosis of deep vessels of distal lower extremity 453.82 Acute venous embolism and thrombosis of deep veins of upper extremity 453.83 Acute venous embolism and thrombosis of upper extremity, unspecified 453.89 Acute venous embolism and thrombosis of other specified veins 453.9 Other venous embolism and thrombosis of unspecified site 10 eTable 7. Medical Revisit – Cardiac ICD-9-CM Diagnosis Codes 401.0 Malignant essential hypertension 402.01 Malignant hypertensive heart disease with heart failure Hypertensive chronic kidney disease, malignant, with chronic kidney disease stage V or 403.01 end stage renal disease 410.01 Acute myocardial infarction of anterolateral wall, initial episode of care 410.11 Acute myocardial infarction of other anterior wall, initial episode of care 410.21 Acute myocardial infarction of inferolateral wall, initial episode of care 410.31 Acute myocardial infarction of inferoposterior wall, initial episode of care 410.41 Acute myocardial infarction of other inferior wall, initial episode of care 410.51 Acute myocardial infarction of other lateral wall, initial episode of care 410.61 True posterior wall infarction, initial episode of care 410.71 Subendocardial infarction, initial episode of care 410.81 Acute myocardial infarction of other specified sites, initial episode of care 410.91 Acute myocardial infarction of unspecified site, initial episode of care 411.1 Intermediate coronary syndrome 411.89 Other acute and subacute forms of ischemic heart disease, other 413.9 Other and unspecified angina pectoris 426.12 Mobitz (type) II atrioventricular block 427.0 Paroxysmal supraventricular tachycardia 427.1 Paroxysmal ventricular tachycardia 427.31 Atrial fibrillation 427.32 Atrial flutter 427.41 Ventricular fibrillation 427.5 Cardiac arrest 427.61 Supraventricular premature beats 427.69 Other premature beats 427.81 Sinoatrial node dysfunction 427.89 Other specified cardiac dysrhythmias 427.9 Cardiac dysrhythmia, unspecified 428.0 Congestive heart failure, unspecified 428.20 Systolic heart failure, unspecified 428.21 Acute systolic heart failure 428.23 Acute on chronic systolic heart failure 428.30 Diastolic heart failure, unspecified 428.31 Acute diastolic heart failure 428.33 Acute on chronic diastolic heart failure 428.41 Acute combined systolic and diastolic heart failure 428.43 Acute on chronic combined systolic and diastolic heart failure 428.9 Heart failure, unspecified 11 785.0 785.1 786.50 786.51 786.59 Tachycardia, unspecified Palpitations Chest pain, unspecified Precordial pain Other chest pain 12 eTable 8. Medical Revisit – Neurologic ICD-9-CM Diagnosis Codes Other forms of migraine, without mention of intractable migraine without mention of 346.80 status migrainosus Migraine, unspecified, without mention of intractable migraine without mention of status 346.90 migrainosus Migraine, unspecified, with intractable migraine, so stated, without mention of status 346.91 migrainosus 348.2 Benign intracranial hypertension 430. Subarachnoid hemorrhage 431. Intracerebral hemorrhage 432.1 Subdural hemorrhage 433.11 Occlusion and stenosis of carotid artery with cerebral infarction 434.01 Cerebral thrombosis with cerebral infarction 434.11 Cerebral embolism with cerebral infarction 434.91 Cerebral artery occlusion, unspecified with cerebral infarction 435.9 Unspecified transient cerebral ischemia 437.2 Hypertensive encephalopathy 780.2 Syncope and collapse 784.0 Headache 997.02 Iatrogenic cerebrovascular infarction or hemorrhage 13 eTable 9. Medical Revisit – Respiratory ICD-9-CM Diagnosis Codes 465.9 Acute upper respiratory infections of unspecified site 466.0 Acute bronchitis 478.31 Unilateral paralysis of vocal cords or larynx, partial 478.33 Bilateral paralysis of vocal cords or larynx, partial 478.6 Edema of larynx 481. Pneumococcal pneumonia [Streptococcus pneumoniae pneumonia] 482.0 Pneumonia due to Klebsiella pneumoniae 482.1 Pneumonia due to Pseudomonas 482.42 Methicillin resistant pneumonia due to Staphylococcus aureus 482.82 Pneumonia due to escherichia coli [E. coli] 482.83 Pneumonia due to other gram-negative bacteria 482.9 Bacterial pneumonia, unspecified 483.0 Pneumonia due to mycoplasma pneumoniae 483.8 Pneumonia due to other specified organism 485. Bronchopneumonia, organism unspecified 486. Pneumonia, organism unspecified 487.0 Influenza with pneumonia 490. Bronchitis, not specified as acute or chronic 491.1 Mucopurulent chronic bronchitis 491.20 Obstructive chronic bronchitis without exacerbation 491.21 Obstructive chronic bronchitis with (acute) exacerbation 491.22 Obstructive chronic bronchitis with acute bronchitis 491.9 Unspecified chronic bronchitis 493.02 Extrinsic asthma with (acute) exacerbation 493.20 Chronic obstructive asthma, unspecified 493.21 Chronic obstructive asthma with status asthmaticus 493.22 Chronic obstructive asthma with (acute) exacerbation 493.90 Asthma, unspecified type, unspecified 493.92 Asthma, unspecified type, with (acute) exacerbation 496. Chronic airway obstruction, not elsewhere classified 507.0 Pneumonitis due to inhalation of food or vomitus 511.0 Pleurisy without mention of effusion or current tuberculosis 511.9 Unspecified pleural effusion 512.1 Iatrogenic pneumothorax 512.8 Postoperative air leak 514. Pulmonary congestion and hypostasis 518.0 Pulmonary collapse 518.81 Acute respiratory failure 518.84 Acute and chronic respiratory failure 14 518.89 519.11 519.9 786.00 786.05 786.06 786.09 786.3 786.30 786.39 786.52 786.9 997.39 Other diseases of lung, not elsewhere classified Acute bronchospasm Unspecified disease of respiratory system Respiratory abnormality, unspecified Shortness of breath Tachypnea Other respiratory abnormalities Cough Hemoptysis, unspecified Other hemoptysis Painful respiration Other symptoms involving respiratory system and chest Other respiratory complications 15 eTable 10. Medical Revisit – Infection Other ICD-9-CM Diagnosis Codes 038.12 Methicillin resistant Staphylococcus aureus septicemia 038.19 Other staphylococcal septicemia 038.3 Septicemia due to anaerobes 038.40 Septicemia due to gram-negative organism, unspecified 038.42 Septicemia due to escherichia coli [E. coli] 038.49 Other septicemia due to gram-negative organisms 038.8 Other specified septicemias 038.9 Unspecified septicemia 079.99 Unspecified viral infection 682.8 Cellulitis and abscess of other specified sites 682.9 Cellulitis and abscess of unspecified sites 780.60 Fever, unspecified 780.62 Postprocedural fever 790.7 Bacteremia Infection following other infusion, injection, transfusion, or 999.39 vaccination 16 eTable 11. Medical Revisit – Urological ICD-9-CM Diagnosis Codes 580.9 Acute glomerulonephritis with unspecified pathological lesion in kidney 584.8 Acute kidney failure with other specified pathological lesion in kidney 584.9 Acute kidney failure, unspecified 586. Renal failure, unspecified 590.10 Acute pyelonephritis without lesion of renal medullary necrosis 590.80 Pyelonephritis, unspecified 595.0 Acute cystitis 595.89 Other specified types of cystitis 595.9 Cystitis, unspecified 599.0 Urinary tract infection, site not specified 599.60 Urinary obstruction, unspecified 599.69 Urinary obstruction, not elsewhere classified 788.1 Dysuria 788.20 Retention of urine, unspecified 788.21 Incomplete bladder emptying 788.29 Other specified retention of urine 788.30 Urinary incontinence, unspecified 788.37 Continuous leakage 788.41 Urinary frequency 788.63 Urgency of urination 788.64 Urinary hesitancy 788.69 Other abnormality of urination 788.99 Other symptoms involving urinary system 997.5 Urinary complications, not elsewhere classified 17 eTable 12. Medical Revisit – Gastrointestinal, Other ICD-9-CM Diagnosis Codes 003.0 Salmonella gastroenteritis 008.00 Intestinal infection due to E. coli, unspecified 008.42 Intestinal infection due to pseudomonas 008.43 Intestinal infection due to campylobacter 008.45 Intestinal infection due to Clostridium difficile 008.5 Bacterial enteritis, unspecified 008.8 Intestinal infection due to other organism, not elsewhere classified 009.0 Infectious colitis, enteritis, and gastroenteritis 009.1 Colitis, enteritis, and gastroenteritis of presumed infectious origin 009.2 Infectious diarrhea 009.3 Diarrhea of presumed infectious origin 530.11 Reflux esophagitis 530.12 Acute esophagitis 530.19 Other esophagitis 530.4 Perforation of esophagus 530.7 Gastroesophageal laceration-hemorrhage syndrome 530.81 Esophageal reflux 535.00 Acute gastritis, without mention of hemorrhage 535.40 Other specified gastritis, without mention of hemorrhage 535.41 Other specified gastritis, with hemorrhage 535.60 Duodenitis, without mention of hemorrhage 536.2 Persistent vomiting 536.3 Gastroparesis 558.9 Other and unspecified noninfectious gastroenteritis and colitis 560.1 Paralytic ileus 560.32 Fecal impaction 560.39 Other impaction of intestine 560.81 Intestinal or peritoneal adhesions with obstruction (postoperative) (postinfection) 560.89 Other specified intestinal obstruction 560.9 Unspecified intestinal obstruction 564.00 Constipation, unspecified 564.01 Slow transit constipation 564.09 Other constipation 564.3 Vomiting following gastrointestinal surgery 564.4 Other postoperative functional disorders 568.0 Peritoneal adhesions (postoperative) (postinfection) 569.5 Abscess of intestine 569.81 Fistula of intestine, excluding rectum and anus 569.83 Perforation of intestine 18 569.89 569.9 578.0 578.1 578.9 787.01 787.02 787.03 787.04 787.1 787.29 787.91 787.99 789.63 793.4 Other specified disorders of intestine Unspecified disorder of intestine Hematemesis Blood in stool Hemorrhage of gastrointestinal tract, unspecified Nausea with vomiting Nausea alone Vomiting alone Bilious emesis Heartburn Other dysphagia Diarrhea Other symptoms involving digestive system Abdominal tenderness, right lower quadrant Nonspecific (abnormal) findings on radiological and other examination of gastrointestinal tract 19 eTable 13. Medical Revisit – Abdominal Pain ICD-9-CM Diagnosis Codes 338.18 Other acute postoperative pain 338.19 Other acute pain 338.28 Other chronic postoperative pain 789.00 Abdominal pain, unspecified site 789.01 Abdominal pain, right upper quadrant 789.02 Abdominal pain, left upper quadrant 789.03 Abdominal pain, right lower quadrant 789.04 Abdominal pain, left lower quadrant 789.05 Abdominal pain, periumbilic 789.06 Abdominal pain, epigastric 789.07 Abdominal pain, generalized 789.09 Abdominal pain, other specified site 789.60 Abdominal tenderness, unspecified site 789.61 Abdominal tenderness, right upper quadrant 789.66 Abdominal tenderness, epigastric 789.67 Abdominal tenderness, generalized 789.69 Abdominal tenderness, other specified site 20 eTable 14. Medical Revisit – Volume Disturbance ICD-9-CM Diagnosis Codes 276.0 Hyperosmolality and/or hypernatremia 276.1 Hyposmolality and/or hyponatremia 276.50 Volume depletion, unspecified 276.51 Dehydration 276.52 Hypovolemia 276.69 Other fluid overload 276.7 Hyperpotassemia 276.8 Hypopotassemia 276.9 Electrolyte and fluid disorders not elsewhere classified 458.0 Orthostatic hypotension 458.29 Other iatrogenic hypotension 458.9 Hypotension, unspecified 21 eTable 15. Directly Related Surgical Site Infections Specific to Hysterectomy or Any Surgery ICD-9-CM Diagnosis Codes 567 Peritonitis and retroperitoneal infections 567.2 Other suppurative peritonitis 567.21 Peritonitis (acute) generalized 567.22 Peritoneal abscess 567.29 Other suppurative peritonitis 567.3 Retroperitoneal infections 567.38 Other retroperitoneal abscess 567.39 Other retroperitoneal infections 567.8 Other specified peritonitis 567.81 Choleperitonitis 567.89 Other specified peritonitis 567.9 Unspecified peritonitis 682.2 Cellulitis and abscess of trunk 686.0 Pyoderma 686.00 Pyoderma, unspecified 686.09 Other pyoderma 686.1 Pyogenic granuloma of skin and subcutaneous tissue 686.8 Other specified local infections of skin and subcutaneous tissue 686.9 Unspecified local infection of skin and subcutaneous tissue 996.69 Infection and inflammatory reaction due to other internal prosthetic device implant 998.5 Postoperative infection, not elsewhere classified 998.51 Infected postoperative seroma 998.59 Other postoperative infection CPT-4 Procedure Codes Debridement of skin, subcutaneous tissue, muscle, and fascia for necrotizing soft 11005 tissue infection; abdominal wall, with or without fascial closure Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous 10060 or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous 10061 or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple 10180 Incision and drainage, complex, postoperative wound infection 11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface Debridement of extensive eczematous or infected skin; each additional 10% of the 11001 body surface, or part thereof Removal of prosthetic material or mesh, abdominal wall for infection (hernia and only if 11008 mesh used in surgery) Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal 49020 abscess; open Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal 49021 abscess; percutaneous 49040 Drainage of subdiaphragmatic or subphrenic abscess; open 49041 Drainage of subdiaphragmatic or subphrenic abscess; percutaneous 49060 Drainage of retroperitoneal abscess; open 22 49061 Drainage of retroperitoneal abscess; percutaneous ICD-9-CM Procedure Codes 54.91 Percutaneous abdominal drainage 86.04 Other incision with drainage of skin and subcutaneous tissue 86.22 Excisional debridement of wound, infection, or burn Two other ICD-9-CM procedure codes that are similar to the above CPT-4 procedures were considered but not included because their definition is too broad to identify None infections. These include the following: removal of other device from abdomen (97.86) and removal of other therapeutic device (97.89). 23
