Hospital Report Cards TM Maternity Care and Women's Health Methodology 2006 9
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Patient Definitions
ICD-9-CM Procedure/Diagnosis Codes and Criteria
Newborn Mortality
150 to 499 grams
Diagnoses: 764.01 through 765.11 (where the fifth digit is 1), excluding
patients with diagnosis codes 764.00, 764.10, 764.20, 764.90, 765.00, 765.10;
excluding patients with procedure codes like 37.5*
500 to 999 grams
Diagnoses: 764.02 through 765.13 (where the fifth digit is 2 or 3), excluding
patients with diagnosis codes 764.00, 764.10, 764.20, 764.90, 765.00, 765.10;
excluding patients with procedure codes like 37.5*
1000 to 1499 grams
Diagnoses: 764.04 through 765.15 (where the fifth digit is 4 or 5), excluding
patients with diagnosis codes 764.00, 764.10, 764.20, 764.90, 765.00, 765.10;
excluding patients with procedure codes like 37.5*
1500 to 1999 grams
Diagnoses: 764.06 through 765.17 (where the fifth digit is 6 or 7), excluding
patients with diagnosis codes 764.00, 764.10, 764.20, 764.90, 765.00, 765.10;
excluding patients with procedure codes like 37.5*
2000 to 2499 grams
Diagnoses: 764.08 through 765.18 (where the fifth digit is 8), excluding
patients with diagnosis codes 764.00, 764.10, 764.20, 764.90, 765.00, 765.10;
excluding patients with procedure codes like 37.5*
2500 plus grams or normal newborns
Diagnoses: 764.09 through 765.19 (where the fifth digit is 9), V30.00, V30.01,
excluding patients with diagnosis codes 764.00, 764.10, 764.20, 764.90,
765.00, 765.10; excluding patients with procedure codes like 37.5*
Women's Cardiac and Stroke Mortality
Coronary Bypass Surgery
Procedure Codes: 36.10 through 36.16 or 36.19, excluding patients with
procedure codes like 35.2*, like 35.1*, like 37.5*, or 38.12 and codes 38.34,
38.44, 38.64, 39.71, and 44.12; excluding patients with diagnosis code 414.06
or 414.07 and codes 441.00 through 441.03
Valve Replacement Surgery
Procedure Codes: 35.20 through 35.28, excluding patients with procedure
codes like 35.1*, like 37.5*, 35.33, 38.12, 38.34, 38.44, 38.64, and 39.71;
excluding patients with diagnosis codes 441.2, 414.06, 414.07 and 441.00
through 441.03
Interventional Cardiology Procedures
Procedure Codes: 36.01, 36.02, 36.05, 36.06, 36.07, 36.09, 00.44 through
00.58, and 00.66; excluding patients with procedure codes like 37.5*, 35.1,
35.10, 35.11 through 35.14, 35.2, 35.20 through 35.28, 36.10 through 36.16,
and 36.19; and excluding patients with diagnosis codes 414.06, and 414.07
Acute Myocardial Infarction
Principal Diagnoses: 410.00 through 410.91 (where fifth digit is one), excluding
patients with procedure codes like 37.5*; excluding patients with diagnosis
codes 414.06, 414.07, Vcode V66.7, 196.0 through 197.8, 198.0 through198.8,
198.81, 198.82, and 198.89