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Quality Definitions and Methodology

Hospital Acquired Conditions

Measure Complications (CC/MCC ICD-9 Codes)
Air Embolism 999.1 (MCC)
Blood Incompatibility 999.60 (CC)
999.61 (CC)
999.62 (CC)
999.63 (CC)
999.69 (CC)
Catheter-Associated Urinary Tract Infection (UTI) 996.64 (CC)
Also excludes the following from acting as a CC/MCC:
112.2 (CC)
590.10 (CC)
590.11 (MCC)
590.2 (MCC)
590.3 (CC)
590.80 (CC)
590.81 (CC)
595.0 (CC)
597.0 (CC)
599.0 (CC)
Falls and Trauma: Fracture
Dislocation
Intracranial Injury
Crushing Injury
Burn
Electric Shock
Codes within following CC/MCC ranges: 800-829
830-839
850-854
925-929
940-949
991-994
Foreign Object Retained After Surgery 998.4 (CC)
998.7 (CC)
Manifestations of Poor Glycemic Control: Diabetic Ketoacidosis
Nonketotic Hyperosmolar Coma
Hypoglycemic Coma
Secondary Diabetes with Ketoacidosis
Secondary Diabetes with Hyperosmolarity
 
250.10-250.13 (MCC)
250.20-250.23 (MCC)
251.0 (CC)
249.10-249.11 (MCC)
249.20-249.21 (MCC)
Pressure Ulcer Stages III & IV 707.23 (MCC)
707.24 (MCC)
Vascular Catheter-Associated Infection 999.31 (CC)