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Elizabeth M. Whitehorn, Director

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