Patients classification System

tools for
Cost management

tools for
Quality management

tools for
HOSPITAL PLANNING

4  Why to choose US

4  implementation

4  ANECDOTE

4  contact

4  Logic

4  diagnoses

4  procedures

4  inpatients

4  outpatients

4  insurance

4  readmissions

4  reoperations

4  complications

4  deaths

4  length of stay

4  day surgery

4  unjustified stays

Reoperation algorithm

The algorithm classifies a reoperation as potentially avoidable if the same organ group was involved in both the index operation (step 1) and in a complication related to surgery (steps 2 and 3) or in an unplanned reoperation (step 4).

The following reoperations, although performed on another organ group, were also classified as potentially avoidable: internal organ resection or limb amputation after a vascular procedure (step 5), reopening of laparotomy or thoracotomy (step 6), control of hemorrhage (step 7), skin debridement after open access (step 8).

Open wound debridement and delayed operations are considered unavoidable (step 9).


 

 

Step 1. List of anatomical sites*

All spinal canal structures: 0301, 0302, 031, 0321, 0329, 034, 0351-0353, 0359, 036, 0371, 0372, 0379, 0393, 0394, 0396-0399, 8050-8052, 8059, 810, 813, 8162-8166, 8451, 8456-8459, 846, 848.

Bone or joint of unspecified site: 0074-0076, 7700, 7709, 7710, 7719, 7720, 7729, 7730, 7739, 7760, 7769, 7770, 7779, 7780, 7789, 7790, 7799, 7800, 7809, 7810, 7819, 7820, 7829, 7830, 7839, 7840, 7849, 7850, 7859, 7860, 7869, 7870, 7879, 7890, 7899, 7910, 7919, 7920, 7929, 7930, 7939, 7950, 7959, 7960, 7969, 7980, 7989, 7990, 7999, 8000, 8009, 8010, 8019, 8040, 8049, 8070, 8079, 8080, 8089, 8090, 8099, 8112, 8120, 8129, 8196, 8199, 835, 8429 ,843, 8440 ,8449, 8452, 8453, 8454, 8455, 8471, 8472, 8473, 8491, 8492, 8493.

Brain, pituitary gland and skull: 0122, 0131, 0132, 0139, 0141, 0142, 0151, 0152, 0153, 0159, 0211, 0212, 0214, 022, 0231-0235, 0239, 0241, 0242, 0243, 0291-0293, 0296, 0299, 0752-0754, 0759, 076, 0772, 0779.

Chest wall, mediastinum and thymus*. 0780-0784, 0792-0799, 3401-3403, 341, 343, 344, 3471-3474, 3479, 3499, 4061-4064, 4069, 5382.

Cranial and peripheral nerves: 0401-0407, 042, 043, 0441-0444, 0449, 045, 046, 0471-0476, 0479, 0491-0493, 0499, 050, 0521-0525, 0529, 0581, 0589, 059, 0742, 2992, 3191, 3331, 693, 8694-8698.

Ear: 1821, 1829, 1831, 1839, 185, 186, 1871, 1872, 1879, 189, 190, 1911, 1919, 1921, 1929, 193, 194, 1952-1955, 196, 199, 2021-2023, 2041, 2042, 2049, 2051, 2059, 2061, 2062, 2071, 2079, 208, 209.

Eyeball and orbit. 0820-0825, 0831-0838, 0842-0844, 0849, 0859, 0861-0864, 0869, 0870-0874, 0882-0887, 0889, 0899, 0920-0923, 093, 096, 0971-0973, 0981-983, 0999, 1031-1033, 1041-1044, 1049, 106, 1099, 1131, 1132, 1139, 1149, 1152, 1153, 1159, 1160, 1161-1164, 1169, 1171-1176, 1179, 1192, 1199, 1200-1202, 1211-1214, 1231-1235, 1239, 1240-1244, 1252-1255, 1259, 1261-1266, 1269, 1271-1274, 1279, 128, 1291, 1293, 1297-1299, 1300-1302, 1311, 1319, 132, 133, 1341-1343, 1351, 1359, 1365, 1366, 1369, 1370-1372, 138, 139, 1400, 1401, 1402, 1426, 1427, 1429, 1431-1435, 1439, 1441, 1449, 1451-1455, 1459, 146, 1471-1474,1479, 149, 1511, 1512, 1513, 1519, 1521, 1522, 1529, 153-157, 159, 1601, 1602, 1609, 161, 1631, 639, 1641, 1642, 1649, 1651, 1652, 1659, 1661-1666, 1671, 1672, 1681, 1682, 1689, 1692, 1693, 1698, 1699.

Facial bones and nose: 0121, 0123-0126, 0128, 016, 0201-0207, 2103, 2107, 2109, 2130-2132, 214, 215, 2162, 2169, 2171, 2172, 2182-2189, 2199, 222, 7601, 762, 7631, 7639, 7641-7646, 765, 766, 767, 7691, 7692, 7694, 7697, 7699.

Finger: 7914, 7924, 7934, 7964, 7984, 7994, 8128, 8281, 8284, 8401, 8402, 8421, 8422.

Forearm and elbow: 7703, 7713, 7723, 7733, 7763, 7773, 7783, 7793, 7803, 7813, 7823, 7833, 7843, 7853, 7863, 7873, 7893, 7912, 7922, 7932, 7952, 7962, 7982, 7992, 8002, 8012, 8042, 8072, 8082, 8092, 8124, 8184, 8185, 8405, 8406, 8423.

Hand  and wrist: 7704, 7714, 7724, 7734, 7764, 7774, 7784, 7794, 7804, 7814, 7824, 7834, 7844, 7854, 7864, 7874, 7894, 7913, 7923, 7933, 7963, 7983, 7993, 8003, 8004, 8013, 8014, 8043, 8044, 8073, 8074, 8083, 8084, 8093, 8094, 8125, 8126, 8127, 8171-8175, 8179, 8201-8204, 8209, 8211, 8212, 8219, 8221, 8222, 8229, 8231-8236, 8239, 8241-8246, 8251-8259, 8261, 8269, 8271, 8272, 8279, 8282, 8283, 8285, 8286, 8289, 8291, 8299, 8403, 8404.

Heart, valves and coronary vessels*: 0050-0054, 0066, 3500-3504, 3510-3514, 3520-3528, 3531-3535, 3539, 3541, 3542, 3550-3555, 3560-3563, 3570-3573, 3581-3584, 3591-596, 3598, 3599, 3603, 3606, 3607, 3609, 361, 362, 363, 3691, 3699, 3710-3712, 3731-3735, 3741, 3749, 3751-3754, 3761-3768, 377, 378, 3790, 3791, 3794-3796, 3798, 3799, 3964.

Hip and femur. 0070-0073, 0077, 0085-0087, 7705, 7715, 7725, 7735, 7765, 7775, 7785, 7795, 7805, 7815, 7825, 7835, 7845, 7855, 7865, 7875, 7895, 7905, 7915, 7925, 7935, 7955, 7965, 7975, 7985, 7995, 8005, 8015, 8045, 8075, 8085, 8095, 8121, 8140, 8151, 8152, 8153, 8417, 8418, 8419, 8428.

Kidney, adrenal glands and urinary tract**: 0721, 0722, 0729, 073, 0741, 0744, 0745, 0749, 5501-5504, 5511, 5512, 5531-5535, 5539, 554, 5551-5554, 5561, 5569, 557, 5581-5587, 5589, 5591, 5595, 5597, 5599, 561, 562, 5640-5642, 5651, 5652, 5661, 5662, 5671-5675, 5679, 5681-5686, 5689, 5691, 5692, 5694, 5695, 5699, 5712, 5717-5719, 5721, 5722, 5741, 5749, 5751, 5759, 576, 5771 ,5779, 578, 5791-5793, 5796, 5798, 5799, 580, 581, 5831, 5839, 5841-5847, 5849, 585, 586, 5891, 5892, 5893, 5899, 5900, 5902, 5903, 5909, 5911, 5912, 5919, 593, 594, 595, 596, 5971, 5979, 5991, 5992, 5999, 600, 6021, 6029, 603, 604 605, 6061, 6062, 6069, 6072, 6073, 6079, 6081, 6082, 6093-6097, 6099, 7051, 7054, 7561.

Knee: 0080-0084, 7706, 7716, 7726, 7736, 7766, 7776, 7786, 7796, 7806, 7816, 7846, 7856, 7866, 7876, 7896, 7986, 8006, 8016, 8046, 806, 8076, 8086, 8096, 8122, 8142-8147, 8154, 8155, 8416.

Larynx and trachea: 3001, 3009, 301, 3021, 3022, 3029, 303, 304, 311, 3121, 3129, 313, 315, 3161-3164, 3169, 3171-3175, 3179, 3192, 3195, 3198, 3199.

Leg, foot, toes, lower limb not otherwise specified: 7707, 7708, 7717, 7718, 7727, 7728, 7737, 7738, 775, 7767, 7768, 7777, 7778, 7787, 7788, 7797, 7798, 7807, 7808, 7817, 7818, 7827, 7828, 7837, 7838, 7847, 7848, 7857, 7858, 7867, 7868, 7877, 7878, 7897, 7898, 7916, 7917, 7918, 7926, 7927, 7928, 7936, 7937, 7938, 7956, 7966, 7967, 7968, 7987, 7988, 7996, 7997, 7998, 8007, 8008, 8017, 8018, 8047, 8048, 8077, 8078, 8087, 8088, 8097, 8098, 8111, 8113-8118, 8149, 8156, 8157, 8159, 8194, 8195, 8410, 8411-8415, 8425-8427, 8448

Liver, biliary tract and pancreas**. 500, 5021-5026, 5029, 503, 504, 5051, 5059, 5061, 5069, 5092, 5093, 5099, 5102-5104, 5121-5124, 5131-5137, 5139, 5141, 5149, 5159, 5161-164, 5169, 5171, 5172, 5179, 5181-5185, 5187-5189, 5191-5196, 5198, 5199,5209, 5221, 5222, 523, 524, 5251-5253, 5259, 526, 527, 5280-286, 5292-5296, 5298, 5299.

Lung and pleura*: 3201, 3209, 321, 322, 323, 324, 325, 326, 329, 330, 331, 3320, 3334, 3339, 3341-3343, 3348, 3349, 3350-3352, 336, 3371, 3378,  3379, 3391, 3392, 3398, 3399, 3405, 3406, 3409, 3451, 3452, 3459, 3493.

Nasal sinus. 2231, 2239, 2241, 2242, 2250-2253, 2260-2264, 2271, 2279, 229.

Oesophagus, stomach, intestine, rectum, anus and peritoneum**: 3481-3485, 3489, 4201, 4209, 4210-4212, 4219, 4231-4233,4239, 4240-4242, 4251-4256, 4258, 4259, 4261-4269,427, 4281-4287, 4289, 4291, 4292, 4299, 430, 4311, 4319, 433, 4341 ,4342, 4349, 435-437, 4381, 4389, 4391, 4399, 4400-4403, 4421, 4422, 4429, 4431, 4432, 4438, 4439, 4440-4443, 4449, 445, 446, 449, 4500-4503, 4530-4534, 4541-4543, 4549, 4550-4552, 4561, 4562, 4563, 4571-4576, 4579, 458, 4590-4595, 4601-4604, 4610, 4611, 4613, 4614, 4620-4624, 4631, 4632, 4639, 4640-4643, 4650-4652, 4660-4664, 4671-4676, 4679, 4680, 4681, 4682, 4685, 4691-4694, 4697, 4699, 4701, 4709, 4711, 4719, 472, 4791, 4792, 4799, 480, 481, 4831-4836, 4841, 4849, 485, 4861-4865, 4869, 4871-876, 4879, 4881, 4882, 4891-4893, 4899, 4901-4904, 4911, 4912, 4931, 4939, 496, 4972-4976, 4979, 4992, 4993, 4994, 4999, 537, 5380, 5381, 5411, 5412, 5419, 544, 5451, 5459, 5464, 5473-5475, 5493, 5494, 5495, 5499, 7050, 7052, 7053, 7055, 7073, 7074, 7562.

Oral cavity, pharynx, tonsils: 242, 2431, 2439, 244-246, 2491, 2499, 251-254, 2559, 2592, 2599, 260, 2621 ,2629, 2630, 2631, 2632, 2641, 2642, 2649, 2699, 2731, 2732, 2741-2743, 2749, 2753-2757, 2759, 2762, 2763, 2764, 2769, 2772, 2773, 2779, 2799, 282-287, 2892, 2899, 292, 2931-2933, 2939, 294, 2952-954, 2959, 2991, 2999.

Ovary, uterus , vagina and vulva**: 6501, 6509, 6521-6525, 6529, 6531, 6539, 6541, 6549, 6551-6554, 6561-6564, 6571-6576, 6579, 6581, 6589, 6592, 6593, 6594, 6595, 6599, 6601, 6602, 6621, 6622, 6629, 6631, 6632, 6639, 664, 6651, 6652, 6661-6663, 6669, 6671-6674, 6679, 668, 6692-6694, 6696, 6697, 6699, 670, 672, 6731-6733, 6739, 674, 6751, 6759, 6761, 6762, 6769, 680, 6821-6823, 6829, 6831, 6839, 684, 6841, 6849, 6851, 6859, 686, 6861, 6869, 687, 6871, 6879, 688, 689, 6901, 6902, 6909, 6919, 6921, 6922, 6923, 6929, 6941, 6942, 6949, 6951, 6952, 6959, 6993, 6997, 6998, 6999, 7031-7033, 704, 7061-7064, 7072, 7075-7079, 708, 7091-7095, 7101, 7124,7129, 713, 714, 715, 7161, 7162, 7172, 7179, 718, 719, 7394, 740, 741-744, 7491, 7499, 7550-7552, 7569, 7593.

Penis: 640, 642, 643, 6441-6445, 6449, 645, 6495, 6497-6499.

Shoulder and arm and upper limb not otherwise classified: 7701, 7702, 7711, 7712, 7721, 7722, 7731, 7732, 7761, 7762, 7771, 7772, 7781, 7782, 7791, 7792, 7801, 7802, 7811, 7812, 7822, 7832, 7841, 7842, 7851, 7852, 7861, 7862, 7871, 7872, 7891, 7892, 7911, 7921, 7931, 7951, 7961, 7981, 7991, 8001, 8011, 8041, 8071, 8081, 8091, 8123, 8180, 8181, 8182, 8183, 8193, 8197, 8400, 8407, 8408, 8409, 8424, 8444.

Skin, subcutaneous tissue, muscle and breast: 5300-5305, 5310-5317, 5321, 5329, 5331, 5339, 5341, 5349, 5351, 5359, 5361, 5369, 539, 540, 543, 5461-5463, 5471, 5472, 8301-8303, 8309, 8311-8314, 8319, 8331, 8332, 8339, 8341-8345, 8349, 8361-8365, 8371-8377, 8379, 8381-8389, 8391-8393, 8399, 8499, 850, 8520-8525, 8531-8536, 8541-8548, 8550, 8553, 8554, 856, 857, 8581-8587, 8589, 8593-8596, 8599, 8605, 8609, 8621-8623, 8625, 8627, 8628, 863, 864, 8651, 8660-8666, 8667, 8669, 8670-8675, 8681-8686, 8689, 8691, 8693, 8699.

Spleen and lymphatic structures. 400, 4021-4024, 4029, 403, 4040-4042, 4050-4054, 4059, 409, 4107, 4109, 412, 4141-4143, 415, 4193, 4194, 4195, 4198, 4199.

Testes, scrotum, and spermatic structures. 610, 612, 613, 6141, 6142, 6149, 6192, 6199, 622, 623, 6241, 6242, 625, 6269, 627, 6299, 631, 632, 633, 634, 6352, 6353, 6359, 6373, 6381, 382, 6383, 6385, 6389, 6399.

Thyroid and parathyroid: 0602, 0609, 062, 0631, 0639, 064, 0650-0652, 066, 067, 0681, 0689, 0691, 0693-0695, 0698, 0699.

Vessels: 0040-0048, 0055-0057, 0061-0065, 0067, 0213, 0692, 0743, 2104-2106, 380, 3810-3818, 383, 384, 3850-3853, 3855, 3857, 3859, 386, 387 (except 387x21), 388, 3894, 390, 391, 3921-3929, 3930-3932***, 3941-3943, 3949, 395, 3961-3963, 3965, 3966, 3971-3975, 3979, 398, 3990, 3991, 3993, 3998, 3999, 4943, 4945-4947, 4949, 8606-8608.

*organs considered as thoracic site. ** organ considered as abdominal or pelvic site (see step 6). ***not taken into account if concomitant with arteriography or catheterization

Step 2. Reoperation procedures identifying a surgery related complication

Reopening of a surgical site

0070, 0071, 0072, 0073, 0080, 0081, 0082, 0083, 0084, 0123, 0242, 0302, 0397, 0475, 0602, 1152, 1266, 1267, 1283, 156, 1662, 1663, 1664, 1666, 1921, 1929, 196, 2062, 2092, 2184, 2763, 3161, 3174, 3403, 3595, 3775, 3779, 3942, 3949, 445, 4496, 4640, 4641, 4643, 4693, 4694, 4975, 5194, 5412, 5461, 5492, 5652, 5662, 5672, 5722, 8153, 8155, 8159, 8197, 843, 8466, 8467, 8468, 8469, 8481, 8483, 8485, 8593, 8675.

Surgery for post-surgical haemorrhage or hematoma: 287, 3941, 3998, 4443, 4444, 4449, 4995, 5793, 6094.

Reoperation for surgical injury :2951, 3161, 3171, 3341, 3343, 3471, 3482, 4282, 4461, 4671, 4673, 4675, 4871, 4971, 5061, 5191, 5581, 5682, 5781, 5841, 6141, 6261, 6351, 6381, 6761, 6941.

Closure of a fistula: 1282, 2182, 2271, 2642, 2753, 2952, 2953, 3162, 3173, 3342, 3473, 3483, 4063, 4284, 4463, 4672, 4674, 4676, 4792, 4873, 4893, 4911, 4912, 4973, 5193, 5583, 5684, 5783, 5784, 5843, 6142, 6762, 6942, 7072, 7073, 7074, 7075, 7172.

Amputation of lower limb: 8400, 8401, 8402, 8403, 8404, 8405, 8406, 8407, 8408, 8409, 8410, 8411, 8412, 8413, 8414, 8415, 8416, 8417, 8418, 8419.

Step3. Complications identified by diagnoses

Surgical complications, independently of reoperated organs (ICD-10 codes): E898, E899, N998, N999, T81, T836, T838, T839, T856-T859, T863, T868, T869, T872, T888, T889

Following diagnostic categories are considered as surgical complications if they affect the reoperated anatomic site:

-         surgical complications

-         health care complications

-         obstetrical complications

-         possible surgical complications

Step 4. Planned reoperations

Removal of a temporary device: 0122, 0129, 0207, 0243, 0295, 0394, 0398, 0493, 1192, 146, 149, 1671, 1672, 3764, 3777, 3785, 3786, 3787, 3789, 3797-3799, 3943, 4494, 5195, 5598, 5694, 5798, 6496, 6694, 6996, 7697, 786, 800, 8393, 8594, 8596, 9788.

Temporary stomy closure: 3472, 4283, 4462, 4650, 4651, 4652, 4872, 5192, 5582, 5683, 5782, 5842.

Anastomosis of two hollow organs :4251, 4252, 4254-4256, 4258, 4259, 4261-4266, 4268, 4269, 437, 4439, 4590, 4591-4595, 4874, 5131-5137, 5139, 5296, 5586, 5673, 5674, 5675, 5679, 5788, 5844, 6383, 6672, 6673, 6674
after a temporary stomy: 0221, 0222, 0981, 0982, 0983, 311, 3121, 3129, 3163, 3174, 4210, 4211, 4219, 4311, 4319, 4610, 4611, 4613, 4614, 4620-4624, 4631, 4632, 4639, 4640, 4641, 4791, 481, 5102, 5103, 5502-5504, 5512, 5651, 5652, 5661, 5662, 5717, 5718, 5721, 5722, 6602.

Tubal crushing, division or destruction: 6621, 6622, 6629, 6631, 6632, 6639.

Aspiration curettage of uterus (690, 695) after insertion of laminaria (6993).

Cholecystectomy or anastomosis of biliary duct: 512, 513, 5194
after relief of a biliary obstruction by endoscopy: 5102, 5141-5143, 5164, 5181, 5184, 5185, 5187, 5188, 5196, 5198, 5294.

Biliary stent (5187) after internal drainage (5199).

Implantation of prosthesis or other devices: 0045-0048, 0050, 0051, 0053-0057, 0060, 0063-0067, 0205, 0293, 0294, 0296, 0393, 0492, 1173, 1370, 1371, 1372, 1391, 1441, 1631, 1661, 1662, 1751, 1752, 2095, 2096, 2097, 2098, 232, 233, 2341-2343, 2349, 235, 236, 2764, 3373, 3379, 3485, 3606, 3607, 3760, 3761, 3762, 3765, 3766, 3767, 3768, 3770-3776, 3779, 3780, 3781, 3782, 3783, 3785, 3786, 3787, 3790, 3794, 3795, 3796, 3797, 3798, 387, 3990, 3993, 4493, 4975, 4992, 5187, 5293, 5341, 5361, 5369, 5597, 5692, 5796, 5893, 627, 6395, 6494, 6495, 6497, 6693, 697, 6991, 7053, 7054, 7055, 7063, 7064, 7078, 7093, 7095, 7692, 7890, 7891, 7892, 7893, 7894, 7895, 7896, 7897, 7898, 7899, 7999, 8053, 8151, 8152, 8154, 8197, 8392, 8440-8448, 8451-8457, 8459, 846, 8480-8485, 8533, 8535, 8553-8555, 8593, 8595, 8606, 8607, 8693-8698.

Any neurosurgical intervention: 0122, 0131, 0132, 0139, 0141, 0142, 0151, 0152, 0153, 0159, 0211, 0212, 0214, 0221, 0222, 0231, 0232, 0233, 0234, 0235, 0239, 0241-0243, 0291, 0292, 0293, 0296, 0299, 0301, 0309, 031, 0321, 0329, 034, 0351, 0352, 0359, 036, 0371, 0372, 0379, 0393, 0394, 0396, 0397, 0398, 0399, 0752-0754, 0759 
after a ventricular or subarachnoid shunt:
0231-0235, 0239, 0241, 0242, 0371, 0372, 0379, 0397.


Two successive catheter based repairs of vessels: 0045, 0046, 0047, 0048, 0055, 0056, 0060, 0063-0069, 1753-1756, 2104, 2105, 3606, 3607, 3609, 397, 3990, 3993, 3994, 6824, 6825. If a secondary diagnosis is a myocardial infarction (I21, I22), the reoperation is considered potentially avoidable.

Two endoscopic procedures on digestive or urinary system: 1731, 1732, 1733, 1734, 1735, 1736, 1739, 4201, 4232, 4233, 4281, 4283, 4291, 4292, 4311, 4341, 4382, 4422, 4432, 4438, 4443, 4462, 4493, 4494, 4495, 4496, 4497, 4498, 4530, 4542, 4543, 4581, 4632, 4685, 4686, 4687, 4695, 4696, 4831, 4832, 4833, 4834, 4835, 4836, 4842, 4851, 4874, 4911, 4931, 5221, 5293, 5294, 5298, 5371, 5383, 5502, 5503, 5504, 5512, 5534, 5582, 5593, 5594, 5597, 5598, 560, 5683, 5691, 5692, 5693, 5694, 5717, 5718, 5741, 5749, 5751, 5782, 5791, 5792, 5793, 5796, 5797, 5798, 580, 581, 5831, 5842, 585, 586, 5891, 5893, 5993, 5994, 600, 6021, 6029, 6094, 6095, 6096, 6097.

Grafts*: 0204, 045, 0861-0863, 0869, 1041, 1042, 1044, 1132, 1153, 1160, 1161, 1163, 1169, 1285, 1287, 1663, 1665, 2755, 2756, 3560-3563, 3971, 3973, 3978, 3979, 4107, 4109, 4287, 5284-5286, 7094, 7691, 780, 8232, 8234, 8279, 8381, 8382, 8582-8585, 8660-8667, 8669, 8670-8675, 8687, 8690.

Transplantation*:  0794, 3350-3352, 336, 3751, 4194, 4697, 5051, 5059, 5280, 5282, 5283, 5561, 5569

Reconstructive surgery*: 0203, 0206, 046, 0479, 0831-0835, 0837, 0838, 0844, 0859, 0864, 0870-0874, 1043, 1049, 1131, 1162, 1164, 1171, 1172, 1174, 1176, 1179, 1235, 1239, 1274, 1288, 1511, 1512, 1519, 155, 185, 186, 1871, 1879, 194, 1952, 1953, 1954, 1955, 196, 2183-2188, 242, 245, 2757, 2762, 2769, 294, 3175, 3221, 3334, 3510-3514, 3533, 3584, 3591, 3596, 3603, 3609, 3610-3617, 3922, 3924, 3925, 3928, 3929, 3951, 3966, 4253, 4381, 4429, 4431, 4465, 4972, 4974, 5172, 5183, 5381, 5785, 5787, 5846, 5847, 593, 6382, 6443, 6444, 645, 6573, 6576, 6921, 7061, 7062, 7641, 7643, 7644, 7646, 765, 7661-7668, 7820, 7822-7825, 7827, 7828, 7829, 7830, 7832-7835, 7837-7839, 787, 8171, 8172, 8174, 8175, 8183, 8185, 8251, 8252, 8257, 8259, 8261, 8269, 8271, 8272, 8286, 8289, 8371, 8375, 8376-8379, 8383, 8550, 8570-8576, 8579, 8586, 8589, 8683, 8686, 8689

Repair*: 0061, 0062, 0202, 0212, 0292, 0351-0353, 0359, 0475, 0476, 0581, 0744, 0793, 0836, 0842, 0843, 0849, 0882-0885, 0889, 0971-0973, 106, 1152, 1159, 1282, 1286, 1435, 1439, 1449, 1459, 157, 1681, 1682, 1689, 1711-1713, 1721-1724, 199, 2093, 2172, 2189, 2279, 2559, 2649, 2754, 2759, 2763, 2773, 2959, 3164, 3169, 3173, 3179, 3348, 3349, 3474, 3479, 3484, 3493, 3550- 3555, 3570-3573, 3581-3583, 3595, 3597, 3949, 3950, 3952, 3956, 3957, 3958, 3959, 3972, 4195, 4284, 4285, 4289, 4466-4469, 4495, 4496, 4498, 4642, 4679, 4879, 4893, 4979, 5069, 5179, 5295, 5300-5305, 5310-5317, 5321, 5329, 5331, 5339, 5342, 5343, 5351, 5359, 5362, 5363, 5371, 5372, 5375, 5380, 5382-5384, 539, 5473-5475, 5587, 5589, 5689, 5783, 5784, 5786, 5789, 5845, 5849, 5979, 6093, 6142, 6149, 6269, 6359, 6389, 6449, 6579, 6679, 6759, 6762, 6769, 6923, 6929, 6949, 7050, 7051, 7052, 7072, 7074, 7079, 7179, 7536, 7550, 7551, 7552, 7561, 7562, 7569, 7593, 7669, 7670, 7672, 7674, 7676, 7677, 7679, 7694, 7751-7754, 7756-7759, 784, 785, 791, 793, 7950-7952, 7955, 7956, 7959, 796, 798, 8054, 8140, 8142, 8143, 8145-8147, 8149, 8165, 8166, 8179, 8182, 8196, 8256, 8258, 8282-8284, 8363, 8587, 8681, 8685.

*These procedures codes are not considered as planned if they are preceded by an index procedure included in the above list, or if they were done for patients with burns

 

Excision, incision, resection or suture of skin, breast or muscular tissue: 5349, 540, 543, 7011, 7031, 8302, 8303, 8309, 8311-8314, 8331, 8332, 8339, 8341-8345, 8349, 8361, 8362, 8364, 8365, 8384, 850, 8520-8525, 8534, 8536, 8541-8548, 8581, 8603, 8605, 8621-8623, 8625, 8627, 8628, 8659, 863, 864, 8682, 8691
after excision, incision or resection of skin, breast or muscular tissue: 540, 543, 7011, 7031, 8302, 8303, 8309, 8311-8314, 8331, 8332, 8339, 8341-8345, 8349, 8384, 850, 8520-8525, 8534, 8536, 8541-8548, 8603, 8605, 8621-8623, 8625, 8627, 8628, 863, 8682, 8691.

Step 5. Internal organ resection or limb amputation after vascular surgery

Internal organ resection or limb amputation: 0722, 0729, 073, 321, 3222, 3239, 3249, 3259, 329, 3814, 3815, 3816, 3834, 3835, 3836, 3837, 3845, 4143, 415, 435, 436, 4389, 4391, 4399, 4561, 4562, 4563, 4571-4576, 4579, 4582, 4583, 4602, 4604, 4840, 4841, 4843, 4849, 4850, 4852, 4859, 4861-4865, 4869, 4892, 5022, 503, 504, 5251-5253, 5259, 526, 527, 554, 5551-5554, 576, 5771, 5779, 6522, 6524, 6531, 6539, 6541, 6549, 6551-6554, 6561-6564, 6594, 664, 6651, 6652, 6662, 6663, 6669, 6831, 6839, 6849, 6851, 6859, 6861, 6869, 6871, 6879, 688, 689, 840, 841.

after vascular surgery: 0040-0048, 0055-0057, 0060-0067, 0213, 0692, 0743, 1753, 1754-1756, 2104-2106, 3603, 3606, 3607, 3609, 361, 362, 3631, 3632, 3639, 3691, 3699, 380, 3810-3816, 3818, 383, 384, 3850-3853, 3855, 3857, 3859, 386, 387, 388, 3894, 390, 391, 392, 3930-3932, 395, 397, 398, 3990, 3991, 3993, 3994, 3999, 4941, 4943-4947, 4949, 6824, 6825, 8606, 8607.

Step 6. Laparo- and thoracotomy or reclosure of disruption of abdominal wall

Reoperation procedures codes: 3401, 3402, 3403, 341, 3473, 540, 5411, 5412, 5419, 5461, 5462, 5463, 5471, 5472, 5495 and one index procedure belonging to a thoracic, abdominal or pelvic organ (see step 1).

Step 7. Control of haemorrhage

Control of haemorrhage: 3998

Step 8. Skin debridement after open surgery

Skin debridement: 540, 543, 7011, 7031, 8302, 8303, 8309, 8311, 8312, 8313, 8314, 8331, 8332, 8339, 8341, 8342, 8343, 8344, 8345, 8349, 8384, 8603, 8604, 8605, 8621, 8623, 8625, 8627, 863, 864, 8682, 8691 with any following secondary diagnosis: O900, T810, T811, T812, T813, T815, T836, T838, T839, T854, T856, T857, T858, T859, T863, T868, T869, T872, T874, T875, T876.

after any procedure listed in step 1 but not in the following procedures :

0045-0048, 0052, 0055-0057, 0063-0067, 0126, 0128, 0241-0243, 0293, 0296, 0379, 0393, 0394, 0396, 042, 0443, 0492, 0493, 0783, 0784, 0795, 0798, 0820-0825, 0831-0838, 0842-0844, 0849, 0859, 0861-0864, 0869-0874, 0882-0887, 0889, 0899, 0920-0923, 093, 096,0971-0973, 0981-0983, 0999, 1031-1033, 1041-1044, 1049, 106, 1099, 1131, 1132, 1139, 1149, 1152, 1153, 1159, 1160-1164, 1169, 1171-1174, 1176, 1179, 1199 1200-1202, 1211-1214, 1231-1235, 1239, 1240-1244, 1252-1255, 1259, 1261-1266, 1269, 1271-1274, 1279, 128, 1291, 1300-1302, 1311, 1426, 1427, 1429, 1431-1435, 1439, 1441, 1449, 1451-1455, 1459, 1511-1513. 1519, 1521, 1522, 1529, 153, 154, 155, 156, 157, 159, 1661-1693, 1699, 1821, 1829, 1831, 1839, 185, 186, 1871,1872, 1879, 189, 190, 1911, 1919, 1921, 1929, 193, 194, 1952-1955, 196, 199, 2023, 2051, 2059, 2091, 2093, 2100, 2103-2105, 2107, 2109, 2130-2132,214, 215, 2162, 2169, 2171, 2172, 2182, 2184-2189, 2199, 222, 2231, 2239, 2241, 2242, 2250, 2251, 2252, 2253, 2260-2264, 2271, 2279, 242, 2431, 2439, 244, 245, 246, 2491,2499, 251, 2559, 2592, 2731, 2732, 2741-2743, 2753-2757, 2762-2764, 2769, 2772, 2773, 2779, 282, 283, 284, 285, 286, 287, 2892, 2899, 2932, 2953, 2991, 3001, 3009, 3021, 3022, 311, 3121, 3129, 315, 3161, 3162, 3195, 3201, 3220, 3224, 3225, 3228, 3230, 3241, 325, 3250, 3320, 3371, 3378, 3379, 3391, 3401, 3406, 3409, 3452, 3472, 3500-3504, 3552, 3555, 3596, 3606, 3607, 3609, 3633, 3634, 3734, 3767, 3768, 3770-3778, 3795, 3850, 3853, 3859, 3869, 3966, 3971-3975, 3979, 3990, 3993, 4107, 4109, 4198, 4201, 4232, 4233, 4281, 4283, 4291, 4292, 4311, 4341, 4422, 4432, 4438, 4443, 4462, 4493-4498, 4530, 4542, 4543, 4632, 4643, 4685, 4831, 4832, 4833, 4834, 4835, 4836, 4874, 4901, 4902, 4903, 4904, 4911, 4931, 4939, 4943, 4945, 4946, 4947, 4949, 4973, 4992, 4993, 5024, 5025, 5102, 5141, 5164, 5181, 5184, 5185, 5187, 5188, 5196, 5198, 5221, 5293, 5294, 5298, 5300, 5301, 5302, 5303, 5304, 5305, 5310-5317, 5321, 5329, 5331, 5339, 5349, 543, 5502, 5503, 5504, 5512, 5533, 5534, 5582, 5597, 5598, 560, 5683, 5691, 5692, 5694, 5717, 5718, 5741, 5749, 5751, 5782, 5791, 5792, 5793, 5796, 5798, 580, 581, 5831, 5842, 585, 586, 5891, 5893, 600, 6021, 6029, 6094, 6095, 6096, 6097, 610, 612, 613, 6141, 6142, 6149, 6192, 6199, 622, 623, 6241, 6242,625, 6269, 627, 6299, 631, 632, 633, 634, 6352, 6353, 6359, 6373, 6381, 6382, 6383, 6385, 6389, 6399, 640, 642, 6442, 6498, 6621, 6622, 6629, 668, 6692, 6693, 6694, 6696, 670, 672, 6731-6733, 6739, 6761, 6762, 6769, 6821, 6822, 6823, 6829, 6841, 6901, 6902, 6909, 6951, 6952, 6959, 6993, 6997, 7031, 7032, 7033, 7076, 7092, 7093, 7094, 7095, 7124, 7129, 713, 7172, 7179, 718, 731, 762, 7671, 7673, 7675, 7678, 7706, 7716, 775, 7766, 7776, 7806, 781, 7856, 7876, 7905, 791, 7975, 8016, 8040, 8046, 8049, 8144, 8193, 8309, 8319, 8339, 8349, 8411, 8471, 8472, 8473, 848, 8480, 8481, 850, 8521, 8525, 8605, 8606, 8607, 8608, 8609, 8621, 8622, 8623, 8625, 8627, 8628, 863, 864, 8651, 866, 8670-8675, 8681-8683, 8685, 8686, 8689, 8691, 8693-8699.

Step 9. Delayed operation

Open wound debridement:

7960, 7961, 7962, 7963, 7964, 7965, 7966, 7967, 7968, 7969, 8622, 8628 as reoperation with any index operation

5462 reoperation after 5462, 8622, 8628 (delayed closure of granulating abdominal wound after wound debridement)

Any combination of two different codes among following operations: 7936, 7937, 3938 (delayed open reduction of fracture of foot, tibia or fibula)

 

Delayed reoperations:

3172, 3778, 4595, 4614, 4624, 4631, 8242, 8243, 8362 as reoperation (any index operation)

4576, 4579 reoperation after 4542, 4686, 4699 index operation (partial excision of large intestine after polypectomy/dilation)

007, 008 reoperation after 7905, 7945, 7975, 7976 (articulation repair after closed reduction)

8457 reoperation after 8457 (removal after insertion or replacement of (cement) spacer)

5251 reoperation after 5185 (proximal pancreatectomy after endoscopic sphincterotomy and papillotomy)

*Diagnostic and procedure codes

The SQLape® tools are updated every year with latest valid international nomenclatures: ICD-10 (WHO version) for diagnoses and ICD-9-CM (US version). Subdivisions are not given in the documentation if they do not have an impact on the algorithms or have no effect on SQLape® diagnostic or operation groups. For instance, the procedure code 513 (three digits) correspond to 5131, 5132, 5133, 5134, 5135, 5136, 5137, and 5139 ICD-9-CM procedure codes.

© SQLape s.à.r.l. and Yves Eggli, 2014, last update 29.04.2016