Potentially Preventable Complications

PPC Category ICD-9-CM Diagnosis and Procedures Codes
1Stroke & Intracranial Hemorrhage 430, 431, 432.x, 433.x1, 434.x1, 436, 997.02
2Extreme CNS Complications 348.1, 348.4, 348.5, 780.01, 780.03, 997.01
3Acute Lung Edema & Respiratory Failure 518.4, 518.5, 518.81, 518.84, 799.1
4Pneumonia, Lung Infection 003.22, 480.1, 481, 482.0-482.2, 482.30-482.9, 483.8, 484.8, 485, 486, 510.0, 510.9, 511.1, 513.x, 519.2
5Aspiration Pneumonia 507.0, 507.1, 507.8
6Pulmonary Embolism 415.1x, 958.0, 958.1, 999.1
7Shock 785.50, 785.51, 785.59, 995.4, 998.0
8Congestive Heart Failure 415.0, 428.0, 428.1, 428.21, 428.23, 428.31, 428.33, 428.41, 428.43, 428.9
9Acute Myocardial Infarct 410.x1
10Ventricular Fibrillation/Cardiac Arrest 427.41, 427.42, 427.5 or Procedure code 99.60
11PV Complications Except Venous Thrombosis 440.24, 443.2x, 444.0-445.89, 785.4
12Major GI Complications w/Transfusion or Post-Hemorrhagic Anemia 530.82, 531.00-531.21, 531.31-531.71, 531.91-532.71, 532.91-532.71, 532.91-533.21, 533.31-533.61, 533.91, 53400-534.21, 534.31-534.61, 534.71, 534.91, 535.x1, 537.83, 537.84, 557.0557.9, 562.02, 562.03, 562.12, 562.13, 568.81, 569.3, 569.85, 578.0, 578.9 and either 1) Procedure code: 99.00, 99.02, 99.03, 99.04, 99.08 or 2) Dx code 285.1, 790.01
13Major Liver Complications 570, 572.0-572.4, 573.4
14Other GI Complications w/Transfusion or Post-Hemorrhagic Anemia 531.30, 532.30, 533.30, 534.30, 537.4, 560.2, 560.81, 560.89, 560.9, 564.2, 565.1, 566, 567.8, 567.9, 569.81, 569.82, 577.0, 596.1, 997.4 and either 1) Procedure code: 99.00, 99.02, 99.03, 99.04, 99.08 or 2) Dx code 285.1, 790.01
15Renal Failure W Dialysis 584.5-584.9, 586, and Procedure code: 39.95, 54.98
16Post-Hemorrhagic & Other Acute Anemia w/Transfusion 285.1, 459.0, 776.0, 790.01 and Procedure code: 99.00, 99.02, 99.03, 99.04, 99.08
17Decubitus Ulcer 707.0
18Septicemia & Severe Infection 003.1, 003.21, 036.0, 036.1, 036.2, 038.0-038.8, 038.9,112.5, 112.81, 112.83, 286.6, 320.00-321.2, 323.8-325, 421.x, 422.92, 567.0, 567.2, 590.2, 728.86, 995.92
19Post-Op Wound Infection & Deep Wound Disruption w/Procedure 998.31, 998.51, 998.59 and Procedure Code (at least 1 day after original surgery): 54.0, 54.12, 54.19, 54.3, 54.61, 86.04
20Reopening Or Revision Of Surgical Site Procedure Codes: 01.23, 03.02, 06.02, 34.03, 35.95, 39.49, 54.0, 54.12, 54.19, 54.3, 54.61
21Post-Op Hemorrhage & Hematoma w/Hem Control Proc or I&D Proc 1) 998.11 And Procedure Code: 01.23, 03.02, 06.02, 287, 34.03, 35.95, 38.81-38.83, 3 8.85-38.89, 39.41, 39.49, 39.98, 49.95, 54.0, 54.12, 57.93, 60.94, or 2) 998.12 and Procedure Code: 01.23, 03.02, 06.02, 34.03, 35.95, 39.49, 54.0, 54.12, 59.19, 61.0, 69.98, 70.14, 71.09, 86.04
22Post-Op Foreign Body & Inappropriate Op 998.4, E78.10, E78.18, E78.19, E87.65
23Other Major Complications of Medical Care 282.62, 253.7, 323.7, 348.30, 348.31, 348.39, 349.82, 478.3x, 799.0, 933.1, 934.x, 935.1, 997.2, 997.71, 997.72, E87.32, E87.34, E87.63
24Malfunction Device, Prosthesis, Graft 996.00-996.30, 996.39, 996.4-996.56, 996.59, E87.40
25Infection, Inflammation & Other Compl of Device/Graft except Vascular Infection 349.1, 996.60, 996.61, 996.63-996.72, 996.75-996.79
26Complications of Central Venous & Other Vascular Devices 996.62, 996.73, 996.74
27Obstetrical Hemorrhage w/Transfusion 285.1, 459.0, 666.12, 666.22, 790.01 and Procedure code: 99.00, 99.02, 99.03, 99.04, 99.08
28Major Obstetrical Complications 659.31, 665.11, 669.11, 669.12, 670.02, 673.x1, 673.x2, 674.01, 674.12 or Procedure code: 68.31, 68.39, 68.4, 68.51, 68.59,68.9
29Post-Op Respiratory Failure w/Tracheostomy Procedure Codes: 31.1, 31.21, 31.29