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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Due to repairs causing planned power outages in the area, the Joliet Regional Office located in the Bays Professional Center Building, will be closed to the public on Monday, May 6th.  The building is expected to reopen on Tuesday, May 7th.

Hospital Acquired Conditions

 

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Effective for Inpatient Admissions On and After July 1, 2012

HAC Diagnosis Codes

 

Foreign Object Retained After Surgery
  • 998.4
  • 998.7
Air Embolism
  • 999.1
Blood Incompatibility
  • 999.60
  • 999.61
  • 999.62
  • 999.63
  • 999.69
Pressure Ulcers States III and IV
  • 707.23
  • 707.24

Falls and Trauma:

  • Fracture Dislocation
  • Intracranial Injury
  • Crushing Injury
  • Burn
  • Other Injuries

Codes within these ranges:

  • 800-829
  • 830-839
  • 850-854
  • 925-929
  • 940-949
  • 991-994
Catheter-Associated Urinary Tract Infection (UTI)
  • 996.64

Also excludes the following from acting as a complication or comorbidity or major complication or comorbidity:

  • 112.2
  • 590.10
  • 590.11
  • 590.2
  • 590.3
  • 590.80
  • 590.81
  • 595.0
  • 597.0
  • 599.0
Vascular Catheter-Associated Infection
  • 999.31

Manifestations of Poor Glycemic Control:

  • Diabetic Ketoacidosis
  • Nonketotic Hyperosmolar Coma
  • Hypoglycemic Coma
  • Secondary Diabetes with Ketoacidosis
  • Secondary Diabetes with Hyperosmolarity
  • 250.10-250.13

  • 250.20-250.23

  • 251.0

  • 249.10-249.11

  • 249.20-249.21

Surgical Site Infection, Mediastinitis, following Coronary Artery Bypass Graft (CABG)
  • 519.2

And one of the following procedure codes:

  • 36.10-36.19

Surgical Site Following Certain Orthopedic Procedures:

  • Spine
  • Neck
  • Shoulder
  • Elbow
  • 996.67

  • 998.59

And of the following procedure codes:

  • 81.01-81.08

  • 81.23-81.24

  • 81.31-81.38

  • 81.83

  • 81.85

Surgical Site Infection Following Bariatric Surgery for Obesity:

  • Laparoscopic Gastric Bypass
  • Gastroenterostomy
  • Laparoscopic Gastric Restrictive Surgery

Principal Diagnosis –

  • 278.01

  • 539.01

  • 539.81

  • 998.59

And one of the following procedure codes:

  • 44.38

  • 44.39

  • 44.95

Deep Vein Thrombosis and Pulmonary Embolism Following Certain Orthopedic Procedures:

  • Total Knee Replacement
  • Hip Replacement 415.11
  • 415.13

  • 415.19

  • 453.40-453.42

And one of the following procedure codes:

  • 00.85-00.87

  • 81.51-81.52

  • 81.54