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Health Grades - Hospital Report Card Maternity Womens Health 2005 (Page 8)

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Health Grades - Hospital Report Card Maternity Womens Health 2005
Hospital Report Cards TM Maternity Care and Women's Health Methodology 2005 ­ 8
© Copyright 2005 Health Grades, Inc. All rights reserved.
May not be reprinted or reproduced without permission from Health Grades, Inc.
Exhibit A. Patient Cohorts and Related ICD-9-CM Codes
Patient Definitions
ICD-9-CM Procedure/Diagnosis Codes and Criteria
Maternity Care
Cesarean Section with Single Birth Procedure Codes: 74.0 through 74.99, excluding patients with diagnosis codes
651.00 through 651.93, 652.61, 660.51, or V27.1 through V27.9
Vaginal Delivery with Single Birth
Principal Diagnoses: 650 or 640.0 through 676.9 (where fifth digit is 1 or 2),
excluding patients with diagnosis codes 651.00 through 651.93, 652.61,
660.51, or V27.1 through V27.9; excluding patients with procedure codes: 74.0
through 74.99
Patient Choice C-section
Patients who had a cesarean section (cesarean procedure codes: 74.0 through
74.99) and did not labor (labor diagnosis codes like any of the following: 653*,
660*, 661*, 662*, 652.1*, 659.0*, 659.1*, 656.3*, or 663.0*) and did not have a
previous cesarean section (previous cesarean section diagnosis code: 654.21),
and did not have any of the following diagnosis codes for these twelve clinical
conditions:
·
Malpresentation: 652 through 652.03, 652.2 through 652.43, 652.6
through 652.93
·
Antepartum bleeding or placental abruption: like 641*, like 656.0*
·
Herpes: like 054*, like 647.6*
·
Severe hypertension: eclampsia and severe pre-eclampsia: like
642.5*, like 642.6*
·
Uterine scar unrelated to cesarean delivery: like 654.9*
·
Multiple gestation: like 651*, like 660.5*
·
Macrosomia: like 656.6*
·
Unengaged (high) fetal head: like 652.5*
·
Maternal soft tissue disorder (uterine abnormalities): like any of the
following: 654.0*, 654.1*, 654.4*, 654.5*, 654.6*, 654.7*
·
Other types of hypertension: like 642* (where the fourth digit is not
equal to 5 or 6)
·
Preterm gestation: like 644.2*
·
Congenital fetal CNS anomaly or chromosomal abnormality: like
655.0*, like 655.1*
·
Exclusion criteria: Patients that have a stillborn diagnosis (stillborn
diagnosis codes: V271, V273, V274, V276, V277, like V32*, like
V35*, like V36*, or between 651.30 and 651.63)

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